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Published in: European Journal of Medical Research 1/2023

Open Access 01-12-2023 | Review

The clinical outcomes of xenografts in the treatment of burn patients: a systematic review and meta-analysis

Authors: Rana Irilouzadian, Amirmohammad Khalaji, Hediyeh Baghsheikhi, Roham Sarmadian, Soodabeh Hoveidamanesh, Tayyeb Ghadimi, Siamak Farokh Forghani

Published in: European Journal of Medical Research | Issue 1/2023

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Abstract

Background

Although autografts are not feasible in patients with extensive burn wounds, allografts and xenografts can be used for temporary coverage. In this systematic review and meta-analysis, we compared the outcomes of xenografts and the standard treatment of burn wounds.

Methods

International online databases were searched for English articles comparing xenografts with routine treatment in the burn patients. The random-effects model was used to estimate standardized mean differences (SMD) or odds ratios (OR) with a 95% confidence interval (CI).

Results

From a total of 7144 records, 14 studies were included in our review after screening by title and abstracts followed by full-texts. No significant difference in hospital stays was found between the mammalian xenografts and control groups (SMD [95% CI] = − 0.18 [− 0.54–0.18]). The mean number of dressing changes was significantly lower in both mammalian xenografts compared to the controls (SMD [95% CI] = − 1.01 [− 1.61–− 0.41]) and fish xenografts compared to controls (SMD [95% CI] = − 6.16 [− 7.65–− 4.66]). In the fish xenografts, re-epithelialization time was significantly lower compared to controls (SMD [95% CI] = − 1.18 [− 2.23–− 0.14]).

Conclusions

Xenografts showed a significantly lower number of dressing changes and fish xenografts showed significant benefit in re-epithelialization compared to routine treatment. The beneficial results of xenografts suggest further research in the use of different types of xenografts in patients with extensive burn.
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Literature
4.
go back to reference Rashaan ZM, Krijnen P, Klamer RR, Schipper IB, Dekkers OM, Breederveld RS. Nonsilver treatment vs silver sulfadiazine in treatment of partial-thickness burn wounds in children: a systematic review and meta-analysis. Wound Repair Regenerat. 2014;22(4):473–82. https://doi.org/10.1111/wrr.12196.CrossRef Rashaan ZM, Krijnen P, Klamer RR, Schipper IB, Dekkers OM, Breederveld RS. Nonsilver treatment vs silver sulfadiazine in treatment of partial-thickness burn wounds in children: a systematic review and meta-analysis. Wound Repair Regenerat. 2014;22(4):473–82. https://​doi.​org/​10.​1111/​wrr.​12196.CrossRef
17.
go back to reference Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg. 2021;88:105906.CrossRefPubMed Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg. 2021;88:105906.CrossRefPubMed
29.
go back to reference Hosseini SN, Mousavinasab SN, Rahmanpour H, Fallahnezhad M. A biological dressing versus “conventional” treatment in patients with massive burns: a clinical trial. Ulus Travma Acil Cerrahi Derg. 2009;15(2):135–40.PubMed Hosseini SN, Mousavinasab SN, Rahmanpour H, Fallahnezhad M. A biological dressing versus “conventional” treatment in patients with massive burns: a clinical trial. Ulus Travma Acil Cerrahi Derg. 2009;15(2):135–40.PubMed
Metadata
Title
The clinical outcomes of xenografts in the treatment of burn patients: a systematic review and meta-analysis
Authors
Rana Irilouzadian
Amirmohammad Khalaji
Hediyeh Baghsheikhi
Roham Sarmadian
Soodabeh Hoveidamanesh
Tayyeb Ghadimi
Siamak Farokh Forghani
Publication date
01-12-2023
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2023
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-023-01505-9

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