Publications by authors named "L E Vlad"

Background: The Wound Care Collaborative Community (WCCC) aims to assess current usable real-world data (RWD) sources to determine which real-world databases (DBs) are suitable and usable for studying the natural history of chronic wounds. Randomized controlled trials (RCTs) do not fully reflect the complexity of patients with chronic wounds. Using RWD, establishment of a scientifically grounded "road map" for RCTs is needed to better navigate the real-world complexity of the patients with chronic wounds.

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Purpose: Early recognition and effective treatment of sepsis improves outcomes in critically ill patients. However, antibiotic exposures are frequently suboptimal in the intensive care unit (ICU) setting. We describe the feasibility of the Bayesian dosing software Individually Designed Optimum Dosing Strategies (ID-ODS™), to reduce time to effective antibiotic exposure in children and adults with sepsis in ICU.

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Article Synopsis
  • The study investigated the relationship between albumin levels and healing outcomes in patients with diabetic foot ulcers (DFU) over a 12-week treatment period, suggesting that hypoalbuminemia could serve as a risk factor for amputation.
  • A retrospective review of 793 patients identified 62 who met inclusion criteria; however, initial albumin levels did not significantly differ between those who healed and those who did not after 12 weeks.
  • Findings indicated that while albumin trends had weak correlation with wound healing, a negative trend in albumin was linked to an increase in wound size, limiting albumin’s effectiveness as a bioindicator of healing capacity in the short term.
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Objective: Venous leg ulcers (VLUs) are considered the most frequent category of hard-to-heal limb ulcers. Although evidence-based care of VLUs suggests that compression therapy plays a pivotal role in the standard of care, patient adherence is considered low, with at least 33% non-compliance, either due to perceived problems from clinicians regarding their own competency in applying the bandages, or from the patient finding the wrapping bothersome. For many years, four-layer bandaging has been considered the 'gold standard', but application can be difficult and may also prove uncomfortable for patients.

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