Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Infections
Abstract number: 25536
VACUUM ASSISTED CLOSURE THERAPY AS WOUND TREATMENT
Ann-Mari WALLIN, Carin OTTOSSON, Lennart BOSTRöM, Johanna ULFVARSON
Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet
Södersjukhuset, Stockholm (SWEDEN)
OBJECTIVES: To describe basic demographic data, co-morbidity, treatment results
and complications in relation to wound aetiology in patients treated with VAC therapy.
METHODS: A consecutive series of patients treated with VAC therapy during 2005-
2007 at Södersjukhuset, Stockholm, due to any type of wound, were included in the
study. Baseline and wound data were collected from the patients’ medical charts. All
patients were followed up during the time of treatment in the hospital inwards or
outwards departments. The results were recorded as treatment results divided into;
Successful treatment or Non successful treatment. The time for treatment was
measured. All forms of complications related to the treatment were registered.
RESULTS: A consecutive serie of 92 patients, were included in the study, treatment
results were registered for 87 patients. Successful treatment was noted for a total of
62 patients (71%) with a mean treatment time of 24 days. Patients with peripheral
disease had a significant increased risk for non successful treatment (OR 9.6) and
complications (OR 7.5) compared to wounds due to postoperative complications,
pressure ulcers had also a risk of non successful treatment (OR 4.1) and a two times
higher risk (OR 2.0) for complications. CONCLUSION: VAC therapy seems to be a
successful treatment of wounds especially postoperative wounds. However the
wound aetiology should be in consideration when deciding on the therapy, taking into
account that especially patients with peripheral disease and pressure ulcers have
less successful treatment results and are more prone to complications.
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