{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:11:51Z","timestamp":1780729911482,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,7,4]],"date-time":"2016-07-04T00:00:00Z","timestamp":1467590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Exact data regarding the clinical role of negative pressure wound therapy (<jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content>) for wound care in a specific country are not available. Thus, we analysed the use of <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> in hospitalised patients in Germany.<\/jats:p><jats:p>Detailed lists of all hospitalised cases treated with <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> in Germany for each of the years from 2005 to 2014 were obtained from the Federal Statistical Office, as well as lists of the 15 most frequent principal and additional diagnoses documented with <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> in 2014.<\/jats:p><jats:p>Within the 10\u2010year time period of the study, the number of cases treated with <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> increased by 349%, from 37\u2009053 in 2005 to 129\u2009269 in 2014. The rate of all hospitalised cases treated with <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> increased form 0\u00b722% to 0\u00b766% in Germany.<\/jats:p><jats:p>In 2014, wounds affecting skin and subcutaneous tissue (5\u2013916.a0) are the most frequent documented indication for <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> followed by deep wounds involving bones and joints at the limbs (5\u2013916.a1). Open abdomens (5\u2013916.a3) count for higher numbers than deep wounds of the thorax, mediastinum and sternum (5\u2013916.a2). Fifty percent of all cases hospitalised for stage <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> pressure ulcers at sacrum or ischium and around one third (32.2%) of cases with pyothorax received <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content>. Every fourth to fifth case hospitalised for disruption of surgical wounds or infections following a procedure (24\u00b71%), as well as for infections and inflammations because of internal joint prosthesis or because of an internal fixation device was treated with <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> (22\u00b79%). In cases with diabetic foot syndrome, it is still every tenth case (10\u00b71%).<\/jats:p><jats:p>This analysis shows a substantial increase in the use of <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> in the last decade for hospitalised patients. <jats:styled-content style=\"fixed-case\">NPWT<\/jats:styled-content> has a fixed role in the treatment of stage <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> pressure ulcers at sacrum or ischium, pyothorax, infection and inflammation because of internal joint prosthesis or an internal fixation device and diabetic foot syndrome.<\/jats:p>","DOI":"10.1111\/iwj.12635","type":"journal-article","created":{"date-parts":[[2016,7,4]],"date-time":"2016-07-04T07:04:26Z","timestamp":1467615866000},"page":"501-507","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Ten\u2010year analyses of the German <scp>DRG<\/scp> data about negative pressure wound therapy"],"prefix":"10.1111","volume":"14","author":[{"given":"Olga","family":"von Beckerath","sequence":"first","affiliation":[{"name":"Department of Vascular Medicine HELIOS Klinik Krefeld GmbH  Krefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Zapenko","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine HELIOS Klinik Krefeld GmbH  Krefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Dissemond","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venerology and Allergology University of Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knut","family":"Kr\u00f6ger","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine HELIOS Klinik Krefeld GmbH  Krefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Initiative Chronische Wunden (ICW) e.V.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"CADTH Rapid Response Reports. 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