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Table 1 Summary of characteristics of the randomized controlled trials (RCTs) included

From: Evaluating the therapeutic efficacy and safety of alginate-based dressings in burn wound and donor site wound management associated with burn surgery: a systematic review and meta-analysis of contemporary randomized controlled trials

Study(author)

year

Journal

Country

Process

Alginate Type & Key Composition

Number of patients

Male(n)

Female(n)

Mean age (sd)

Area treated

Outcomes

For Donor-site wound (DSW)

 Attwood [15]

1989

Brirish Journal of Plasric Surgery

U.K

Calcium alginate

Calcium alginate (High G-content)

105

77

28

-

-

(1)

    

Traditional dressing of paraffin gauze

 

25

21

4

-

-

 Porter [16]

1991

Brirish Journal of Plasric Surgery

U.K

Alginate

Biatain Alginate Ag (Calcium alginate, High M-content)

29

14

15

51.9 (13–84)

-

(1)(4)

    

Hydrocoilloid

 

30

16

14

51.4 (18–84)

-

 Vanstraelen [17]

1992

Burns

U.K

Calcium sodium alginafe

Sodium alginate (M/G ratio not reported)

20

9

11

61

-

(1)(4)

    

Porcine xenograft

 

-

-

-

 Bettinger [18]

1995

Journal of Burn Care & Rehabilitation

U.S.A

Calcium alginate

Calcium alginate (High G-content)

7

-

-

45

4 × 8 cm2

(1)(3)

    

Scarlet red

    

-

 Ho [19]

2001

Burns

China

standard skin donor site dressing Kaltostat (calcium sodium alginate)

Kaltostat (Calcium alginate, High M-content)

35

30

5

31.7 ± 19.2

18.9 ± 16.3%TBSA

(1)(4)

    

Hyphecan (1–4,2-acetamide-deoxy-B-D-glucan)

 

-

 Pannier [20]

2002

Annales De Chirurgie Plastique Esthetique

France

Calcium alginate

Sodium alginate (M/G ratio not reported)

34

-

-

4.1 (1–15.5)

102 (75–150) cm2

(1)(4)

    

Paraffin gauze

 

33

-

-

4.9 (0.9–11.1)

104 (69–125) cm2

 Melandri [21]

2006

Burns

Italy, Switzerland

Algisite MTM

Sodium alginate (M/G ratio not reported)

23

14

9

52.7 ± 17.0

-

(4)

    

Jaloskin1

 

-

 Higgins [22]

2012

Int Wound J

Australia

calcium alginate, Kaltostat®

Kaltostat® (Calcium alginate, High M-content)

18

10

8

-

-

(2)(3)(4)

    

polyurethane dressing, AllevynTM

 

18

6

12

-

-

 Ding [23]

2013

Burns

China

Alginate Silver (coloplast)

Alginate Silver (Calcium alginate, High M-content), Aquacel Ag (Sodium alginate (M/G ratio not reported))

10

7

3

39.0 ± 10.1

-

(1)(4)

    

Aquacel Ag (convatec)

 

10

6

4

37.2 ± 11.0

-

Ding [24]

2023

Journal of Wound Care

China

Biatain Alginate Ag (Coloplast, Denmark)

Biatain Alginate Ag (Calcium alginate, High M-content), Biatain Ag (without calcium alginate)

16

8

8

40 ± 12

 

(1)(4)

    

Biatain Ag

 

-

For Burn wound

 Opasanon [25]

2010

Int Wound J

Thailand

Askina Calgitrol Ag® (B. Braun Hospicare Ltd, Collooney Co. Sligo, Ireland), alginate silver wound dressing,

Sodium alginate (M/G ratio not reported)

30

21

9

31.03 ± 19.76

7.93 ± 1.18%TBSA

(1)(2)(3)

    

1% AgSD

 

35

15

20

42.31 ± 23.49

2.77 ± 0.41%TBSA

 Carvalho [26]

2011

J Wound Ostomy Continence Nursing

Brazil

Collagen- alginate dressing covered with a transparent polyurethane film dressing

Calcium alginate (High G-content)

12

-

-

36 ± 18

TBSA% less than 15%

(1)(3)(4)

    

Trans- parent polyurethane film dressings only

 

11

-

-

 Brenner [27]

2015

Journal of Burn Care & Research

U.S.A

KaltostatAlginate dressing

Calcium alginate (High G-content)

18

11

7

-

84 cm2 (42–399cm2)

(4)

    

Allevyn dressing

 

19

12

7

-

61cm2 (8–600cm2)

 Mehta [28]

2019

Journal of Family Medicine and Primary Care

India

Silver‐sulfadiazine‐impregnated collagen (SIC), a type 1 collagen impregnated with silver sulfadiazine (SSD)‐loaded alginate microspheres to deliver SSD

Sodium alginate (M/G ratio not reported)

25

10

15

23.11 ± 20.67

-

(1)(3)(4)

    

Conventional dressings (with 1% SSD cream)

 

25

11

14

22.95 ± 20.19

-

 Rashaan [29]

2019

WOUND REPAIR AND REGENERATION

Netherlands

Flaminal® Forte

Sodium alginate (M/G ratio not reported)

41

32

9

50.2 ± 15.4

3 (0.75–10) % TBSA

(1)(4)

    

Flamazine® (silver sulfadiazine)

 

48

39

9

42.6 ± 16.2

3 (0.5–16) % TBSA

  1. *Different serial numbers corresponding to different outcomes: (1) Healing time; (2) Times of dressing changes; (3) Pain scores; (4) Adverse events