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Study aim
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Comparison between Negative-Pressure Wound Therapy and Conventional Dressing Therapy in Healing Patients with Infected Diabetic Foot Ulcer
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Design
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patients were randomly assigned to the study groups. Based on the Bland-Altman plot [and similar studies], 30 patients were assigned to each of the intervention and control groups
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Settings and conduct
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This RCT was conducted on all patients admitted to Modarres Hospital, Tehran, Iran in 2018 or 2019 who have been diagnosed with infected DFU.
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Participants/Inclusion and exclusion criteria
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diabetic patients with DFU in Modarres Hospital, Tehran, Iran between 2018- 2019 ؛ Patients with vascular diseases, coagulopathies, non-debrided wounds, sepsis, some inabilities, and those who were unwilling to participate in the study were excluded.
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Intervention groups
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After matching the patients for age and gender, they were randomly assigned to the Vacuum-Assisted Dressing (VAC) and the Silver Sulfadiazine Ointment Dressing groups. The intervention started immediately after the surgical debridement. Wagner’s grading system was used to classify the ulcers based on their surface and depth. The exact date and time of each debridement procedure was recorded to calculate the healing time. In the VAC group, the dressings were changed every 48 hours; however, in the control group, they were changed twice a day. The patients were followed up until the wounds were closed. The healing times, the wounds’ surface areas, along with demographic information of patients, as well as possible complications were recorded in a checklist.
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Main outcome variables
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Healing speed ؛DFU-related complications ؛The ulcer size