Made EasyAccel-Heal® Made Easy

Accel-Heal® Made Easy

Complex wounds | Butcher M, Tadej M, Hampton S

Evidence For Accel-Heal®
Young et al (2011) undertook a non-blinded, clinical evaluation using Accel-Heal® of 30 patients with full thickness, venous leg ulcers that had been non-healing for more than 6 months. The wounds were formally assessed and confirmed as non-healing for two months prior to the evaluation of Accel-Heal®.

All patients were treated for 10 days and patients' wounds were monitored over a 3-month period. During this time periwound oedema had decreased by approximately 60% of the original level. This was maintained at 90 days (Young et al, 2011). In addition mean pain levels had reduced to 1.6 from 5.3 (using an 11-point score of 0=no pain and 10=worst pain) over the treatment period (Tadej et al, 2010). Exudate levels also reduced (with 51.7% lower fluid loss) at the end of the treatment period.

Chapman-Jones et al (2010) reported that 95% of chronic, non-healing venous leg ulcers studied had improved at 90 days, with 38% of going on to achieve full closure within 19 weeks. Further studies are needed to confirm the benefits of using Accel-Heal®.

Clinical benefits of Accel-Heal®
Improving rates of healing can have significant benefits for the patient: with a reduction in pain and exudate levels and improved quality of life (EWMA, 2008). Preliminary results may suggest that the device can have a positive impact on quality of life and can help to manage symptoms effectively, such as pain, exudate and oedema.

Patients can wash with the device in place. They may shower but the unit must be detached from the electrical cables. Patients' reliance on carers and nurse visits is reduced, allowing them to feel more in control and visualise a future without a wound (International Consensus, 2012).

Cost benefits of Accel-Heal®
Taylor et al (2011) undertook a formal cost-analysis of the use of Accel-Heal® on non-healing venous leg ulcers. They assumed that three devices were used per patient at a cost of £40 each. Using a Markov model, they demonstrated that Accel-Heal® was a cost-effective treatment that could produce savings. Despite the £240 upfront investment for six Accel-Heal® devices, the five-month healthcare costs of using Accel-Heal® plus dressings and compression bandaging was given as £748.94, versus £879.90 for dressings plus compression bandaging alone (Taylor et al, 2011). Use of the product as an adjunct to appropriate topical management was estimated to achieve a 27% reduction in nurse visits, a 56% reduction in bandage usage and a 27% reduction in dressings leading to a 15% reduction (£6.2 million) in total costs to the NHS.  

When the body's endogenous bioelectric system fails and cannot contribute naturally to the repair processes, introducing therapeutic levels of electrical current into the wound tissue from an external source may help to stimulate healing. This treatment has been found to be useful in hard-to-heal wounds and chronic venous leg ulcers in particular. Accel-Heal® provides a simple, safe and potentially cost effective method of ES treatment, offering benefits to patients and healthcare services alike.   



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Butcher M[1], Tadej M[2], Hampton S[3]
1. Tissue viability nurse and associate lecturer, University of Plymouth
2. Tissue viability and research nurse, Eastborne Wound Healing Centre CIC
3. Tissue viability consultant, Eastborne Wound Healing Centre CIC

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