{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:21:31Z","timestamp":1777890091795,"version":"3.51.4"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"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":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Use of negative pressure wound therapy (NPWT) in peripheral artery disease (PAD) and diabetic limb salvage (DLS) improves wound healing by providing moist wound conditions, reducing exudate, controlling wound\u2010bed infection, and stimulating granulation. NPWT duration may take several weeks, and home\u2010based NPWT allows patient to recover in the community while minimising risks of prolonged hospitalisation. The aim of this study is to review the use and outcomes of home NPWT in PAD and DLS. The methodology is the retrospective review of patients who were discharged with home NPWT after in\u2010patient PAD revascularisation and DLS debridement or minor amputations. The results included a total of 118 patients who received home NPWT between January 2017 and December 2017. The mean age was 62.8\u2009years with 66% male and 34% female patients. The study population comprised 25% smokers, 98% patients with diabetics, 35% with ischemic heart disease, and 21% with end\u2010stage renal failure (ESRF). Of which, 56% of patients required revascularisation while 31% of patients underwent foot debridement, 48% underwent toe amputations, and 20% underwent forefoot amputations. All patients received in\u2010patient NPWT for a week before being discharged on home NPWT for 4\u2009weeks. Then, 62% received targeted antibiotics regime while 36% received empirical antibiotics on discharge; 60% of patients achieved wound healing on home NPWT, with 9% requiring split\u2010thickness skin graft; 4% required further surgical debridement, 16% required further minor amputation while 20% required major amputation. 9% required further home NPWT extension, with a mean length of 7.1\u2009\u00b1\u20094.7\u2009weeks' extension. Overall survival of 1 year was 89%. Risk factors that predict the failure of home NPWT includes subjects with a background of ESRF and wet gangrene on presentation. Home NPWT is a useful adjunct in the management of PAD and DLS foot wounds.<\/jats:p>","DOI":"10.1111\/iwj.13307","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T00:24:30Z","timestamp":1579825470000},"page":"531-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Use of home negative pressure wound therapy in peripheral artery disease and diabetic limb salvage"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0941-6291","authenticated-orcid":false,"given":"Kai","family":"Lim","sequence":"first","affiliation":[{"name":"Vascular Surgery Service, Department of General Surgery Tan Tock Seng Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuxin","family":"Lim","sequence":"additional","affiliation":[{"name":"Vascular Surgery Service, Department of General Surgery Tan Tock Seng Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiantai","family":"Hong","sequence":"additional","affiliation":[{"name":"Vascular Surgery Service, Department of General Surgery Tan Tock Seng Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enming","family":"Yong","sequence":"additional","affiliation":[{"name":"Vascular Surgery Service, Department of General Surgery Tan Tock Seng Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadhana","family":"Chandrasekar","sequence":"additional","affiliation":[{"name":"Vascular Surgery Service, Department of General Surgery Tan Tock Seng Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn W. 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