Meta-analysis and systematic review of skin graft donor-site dressings with future guidelines.

Background: Many types of split-thickness skin graft (STSG) donor-site dressings are available with little consensus from the literature on the optimal dressing type. The purpose of this systematic review was to analyze the most recent outcomes regarding moist and nonmoist dressings for STSG donor sites. Methods: A comprehensive systematic review was conducted across PubMed/MEDLINE, EMBASE, and Cochrane Library databases to search for comparative studies evaluating different STSG donor-site dressings in adult subjects published between 2008 and 2017. The quality of randomized controlled trials was assessed using the Jadad scale. Data were collected on donor-site pain, rate of epithelialization, infection rate, cosmetic appearance, and cost. Meta-analysis was performed for reported pain scores. Results: A total of 41 articles were included comparing 44 dressings. Selected studies included analysis of donor-site pain (36 of 41 articles), rate of epithelialization (38 of 41), infection rate (25 of 41), cosmetic appearance (20 of 41), and cost (10 of 41). Meta-analysis revealed moist dressings result in lower pain (pooled effect size = 1.44). A majority of articles (73%) reported better reepithelialization rates with moist dressings. Conclusion: The literature on STSG donor-site dressings has not yet identified an ideal dressing. Although moist dressings provide superior outcomes with regard to pain control and wound healing, there continues to be a lack of standardization. The increasing commercial availability and marketing of novel dressings necessitates the development of standardized research protocols to design better comparison studies and assess true efficacy.R01 EB021308 - NIBIB NIH HHSPublished versio

Personal Papers (MS 80-0002)

Letter from E. R. Cheesborough to I. H. Kempner discussing a resolution and the related actions taken. Cheesborough mentions contacting Mr. Aicklen and Mr. McCullough to discuss the resolution and determine whether or not it should be taken up by the Senate. The letter expresses caution about assuming the Senate's support for granted, noting that opinions might change and that it's crucial not to rely too heavily on assumed support

Personal Papers (MS 80-0002)

Letter from E. R. Cheesborough to I. H. Kempner asking him to sign an enclosure to the letter and explaining that certain trash should be disposed of, and mentioning the end of the Blum Land Co's affairs

Personal Papers (MS 80-0002)

Letter from E. R. Cheesborough to I. H. Kempner discussing stockholders of the Leon and H. Blum Land Company

Personal Papers (MS 80-0002)

Postcard featuring an illustration of the Hotel Galvez in Galveston, Texas. The Galvez is in Spanish Colonial Revival style featuring red slanted roofs and a beige exterior. A central section of the building is flanked by towers on each corner. In front of the hotel is a flagpole flying the American flag, palm trees, and dozens of cars parked along the Great Seawall. A small staircase descends from the Seawall to the beach where many people are lounging in chairs under umbrellas or wading in the Gulf of Mexico. On the back of the card is a message from E. R. Cheesborough to Isaac H. Kempner regarding waivers and proxies that allow them to avoid the expense of newspaper advertisements for an upcoming meetings

Personal Papers (MS 80-0002)

Letter from E. R. Cheesborough to I. H. Kempner informing him that the Chicago Rock Island and Pacific R. R. C. want him to be director of their company for the next year, and discussing some documents he has

Personal Papers (MS 80-0002)

Letter from E. R. Cheesborough to I. H. Kempner discussing the history of Galveston mayors, Texas governors, gamblers in their acquaintance, and banks