Cochrane · systematic review · CD011822

​Primary closure versus delayed or no closure for traumatic wounds due to mammalian bite

Bhaumik, S, Kirubakaran, R, Chaudhuri, S · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
3
No studies
5
Included studies
NR
No studies 5 · 62.5%Ungraded 0 · 0%Very low 2 · 25%Low 0 · 0%Moderate 1 · 12.5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Primary closure versus no closure for traumatic wounds due to mammalian bite

Population: patients with traumatic wounds due to dog bite
4 questions
OutcomeEffectEvidenceStatus / GRADE
Time to complete wound healing
Primary closure vs no closure
no estimate extractedNRNo studies
Proportion of wounds which were infection‐free
Primary closure vs no closure
RR 1.01 [0.97, 1.05]2 studies · 782 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of wounds which were infection‐free
Primary closure vs no closure
no estimate extractedNRNo studies
Cosmesis using validated cosmetic outcome score at 4 weeks Scale: Vancouver Scar Scale; lower score = better cosmesis
Primary closure vs no closure
no estimate extracted1 study · 182 participantsModerate
Downgraded: risk of bias, imprecision

Primary closure versus delayed closure for traumatic wounds due to mammalian bite

Population: patients with traumatic wounds due to dog bite
4 questions
OutcomeEffectEvidenceStatus / GRADE
Time to complete wound healing
Primary closure vs delayed closure
no estimate extractedNRNo studies
Proportion of wounds which were infection free on day 7
Primary closure vs delayed closure
RR 0.98 [0.9, 1.07]1 study · 120 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of wounds which were infection‐free
Primary closure vs delayed closure
no estimate extractedNRNo studies
Cosmesis using validated cosmetic outcome score at 4 weeks
Primary closure vs delayed closure
no estimate extractedNRNo studies