Analyzing the Effect of a Closed Incision Negative Pressure Wound Therapy System on Wound Complications and Surgical Site Infections in Kidney Transplant Recipients: A Propensity Score Matched Analysis
Transplantation Services, Royal Prince Alfred Hospital, Sydney, Australia
Meeting: 2020 American Transplant Congress
Abstract number: A-099
Keywords: Infection, Kidney transplantation, Post-operative complications, Surgical complications
Session Information
Date: Saturday, May 30, 2020
Session Name: Poster Session A: Surgical Issues (Open, Minimally Invasive):All Organs
Session Time: 3:15pm-4:00pm
Presentation Time: 3:30pm-4:00pm
Location: Virtual
*Purpose: The purpose of this study is to determine if a closed incision negative pressure wound therapy (ciNPWT) system prevents wound complications and surgical site infections (SSI) in kidney transplant (KT) recipients.
*Methods: Kidney transplant recipients over the age of 18 years, with a BMI over 25kg/m2, were included in this study. A prospective cohort of KT recipients received the ciNPWT system as a dressing over the surgical wound and compared outcomes with a retrospective cohort of recipients who used standard dressings. We applied propensity score matching (PSM) to the analysis.
*Results: There were 87 KT recipients in total (61 standard dressing and 26 ciNPWT). After PSM, there were 26 matched pairs. Wound complications were similar in the unmatched cohort (27.9% vs 19.2%, p= 0.396), and PSM cohort (38.5% vs 19.2% p = 0.126) for standard dressing compared to ciNPWT respectively. SSI rates were similar for both standard dressing and ciNPWT groups in the unmatched cohort (8.2% vs 11.5%, p = 0.621), and PSM cohort (7.7% vs 11.5% p=0.638).
*Conclusions: There is no difference in wound complications and SSI in kidney transplant recipients with the use of ciNPWT compared to standard dressings.
To cite this abstract in AMA style:
Lam S, Huynh A, Laurence JM. Analyzing the Effect of a Closed Incision Negative Pressure Wound Therapy System on Wound Complications and Surgical Site Infections in Kidney Transplant Recipients: A Propensity Score Matched Analysis [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/analyzing-the-effect-of-a-closed-incision-negative-pressure-wound-therapy-system-on-wound-complications-and-surgical-site-infections-in-kidney-transplant-recipients-a-propensity-score-matched-analysi/. Accessed February 28, 2021.« Back to 2020 American Transplant Congress