Reverse aqua pump vacuum-assisted closure alternative and affordable solution for emerging cost in wound therapy: A case series
Abstract
Introduction and importance Soft tissue defects managed with conventional wound therapies are often inadequate. Vacuum-Assisted Closure (VAC) has proven to be an effective method for discharge removal, edema reduction, perfusion enhancement, and granulation tissue stimulation. This study assesses the novel Reverse Aqua Pump Vacuum-Assisted Closure (RAP-VAC), a low-cost innovation option in a developing country, designed to facilitate successful wound healing while mitigating financial limitations. Case presentation This case series was reported at a tertiary referral hospital in Indonesia, involving 13 patients with soft tissue defects utilizing RAP-VAC. The average wound size diminished by 9.8 %, from 50.19 ± 36.96 cm2 on day 0 to 45.25 ± 36.43 cm2 at the endpoint measurement. The mean granulation rate was 92.13 %, and the average wound bed preparation duration was 20.92 ± 2.69 days. The whole expenditure for care expenses to IDR 2,376,923 per patient. The linear mixed model analysis significantly associated with intercept estimate of 50.19 (p = 0.001) with 0.32 reduction per day in the outcome (p = 0.010). Clinical discussion NPWT accelerates wound shrinkage, resulting from the consistent negative pressure. The mechanical motion facilitates cell migration, hence expediting wound closure. The cost-effectiveness of NPWT has been established, diminishing the necessity for expensive therapies. A study reported using an aqua pump-based VAC, but without detailing the mechanism.…
How strong is the evidence?
Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health. Reported size: 13 participants or records.
Read the paper
Related studies
- Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials
- Tocilizumab in patients with severe COVID-19: a retrospective cohort study
- A new aging measure captures morbidity and mortality risk across diverse subpopulations from NHANES IV: A cohort study
- Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study
- Are noise and air pollution related to the incidence of dementia? A cohort study in London, England
- Long COVID symptoms and duration in SARS-CoV-2 positive children — a nationwide cohort study
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.