Cited by 46Wound Healing and TreatmentsPressure Ulcer Prevention and ManagementDiabetic Foot Ulcer Assessment and Management

Effects of polydeoxyribonucleotide in the treatment of pressure ulcers

Open access
Kim, Jung Yoon, Pak, Chang Sik, Park, Ji Hoon, Jeong, Jae Hoon, Heo, Chan Yeong·2014·Journal of Korean Medical Science

Abstract

This study aimed to examine the positive effects of polydeoxyribonucleotide (PDRN) on the wound-healing process in pressure ulcers. In this randomized controlled trial, the effects of PDRN were compared over time between an experimental group (n=11) and a control group (n=12). The former was administered the same dose of PDRN intramuscularly (1 ampule, 3 mL, 5.625 mg, for 5 days) for 2 weeks and perilesionally (1 ampule, 3 mL, 5.625 mg, twice a week) for 4 weeks. The primary endpoint for determining efficacy was wound healing in the pressure ulcers, which was reflected by the wound surface area determined using VISITRAK Digital (Smith & Nephew, Largo, FL). The secondary endpoint was the pressure ulcer scale for healing score, determined using pressure ulcer scale for healing (PUSH Tool 3.0 developed by the National Pressure Ulcer Advisory Panel). After the 4-week treatment period, PDRN therapy was found to significantly reduce the wound size and PUSH score, without adverse effect during the treatment. The findings indicate that PDRN can positively modify the wound healing process in pressure ulcers, and its use could improve the clinical outcomes of patients and lower the need for additional therapies or hospital stay.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3346/jkms.2014.29.s3.s222

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • At week 3, median wound surface area was 1.30 cm2 (range 0.30-5.00) in the PDRN group versus 5.70 cm2 (range 2.00-16.00) in the control group (p=0.001).

    “at week 3, 1.30 cm² (range: 0.30-5.00) versus 5.70 cm² (range: 2.00-16.00; p=0.001)”

    From Polynucleotides and Polydeoxyribonucleotides for Skin Rejuvenation, Postoperative Scar Prevention, and Wound Healing: A Systematic Review of Randomized Clinical Trials (2026) · cites this paper as [8]

    The Results (Evaluation of PDRN effects; page unavailable) report that pressure-ulcer area decreased with PDRN, supporting the direction of the comparison. Our copy does not give the claimed week-3 wound-area medians or ranges. Its week-3 P=0.001 appears in Results (Pressure ulcer scale for healing; page unavailable) for the PUSH score, not explicitly for wound surface area. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • At week 2, median wound surface area was 2.30 cm2 (range 0.30-5.90) in the PDRN group versus 6.45 cm2 (range 3.00-16.00) in the control group (p=0.001).

    “At week 2, values were 2.30 cm² (range: 0.30-5.90) versus 6.45 cm² (range: 3.00-16.00; p=0.001)”

    From Polynucleotides and Polydeoxyribonucleotides for Skin Rejuvenation, Postoperative Scar Prevention, and Wound Healing: A Systematic Review of Randomized Clinical Trials (2026) · cites this paper as [8]

    The Results (Evaluation of PDRN effects; page unavailable) report that pressure-ulcer area decreased in the PDRN group, and the Discussion says the reduction was significant over time. The passages available from our copy do not give the claimed week-2 medians, ranges, or wound-area p-value. The Results’ week-2 p=0.002 refers to the separate PUSH score, not wound surface area. (LLM, conf=0.80)

    Experimental — accuracy not yet measured
  • In patients with stage 2-4 pressure ulcers, PDRN treatment produced progressive and statistically significant reductions in wound surface area at all weekly assessment time points compared with controls.

    “Wound surface area, measured using VISITRAK Digital, demonstrated progressive and statistically significant reductions in the PDRN group at all weekly assessment time points compared with controls.”

    From Polynucleotides and Polydeoxyribonucleotides for Skin Rejuvenation, Postoperative Scar Prevention, and Wound Healing: A Systematic Review of Randomized Clinical Trials (2026) · cites this paper as [8]

    The Results (Wound surface area; page not provided) report progressively greater reductions in the PDRN group than in controls, significant at each assessment from weeks 1 through 4. The Methods (Measures) confirm use of VISITRAK Digital. However, the Methods (Setting and participants) specify ulcers “higher than stage 2,” so the added claim that the findings apply to stage 2 ulcers is not supported. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • At week 1, median wound surface area was 5.30 cm2 (range 2.50-8.70) in the PDRN group versus 9.52 cm2 (range 4.80-17.00) in the control group (p=0.007).

    “At week 1, the median wound surface area was 5.30 cm² (range: 2.50-8.70) in the experimental group versus 9.52 cm² (range: 4.80-17.00) in the control group (p=0.007).”

    From Polynucleotides and Polydeoxyribonucleotides for Skin Rejuvenation, Postoperative Scar Prevention, and Wound Healing: A Systematic Review of Randomized Clinical Trials (2026) · cites this paper as [8]

    The Results (Evaluation of PDRN effects; page unavailable) report that pressure-ulcer area decreased in the PDRN group, and Methods (Measures; page unavailable) say wound surface area was assessed at week 1. The passages retrieved do not give the claimed week-1 medians, ranges, or p=0.007, so those figures cannot be verified from our copy. (LLM, conf=0.80)

    Experimental — accuracy not yet measured
  • At week 4, median wound surface area was 0.90 cm2 (range 0.20-4.50) in the PDRN group versus 4.25 cm2 (range 1.80-14.00) in the control group (p<0.001).

    “and at week 4, 0.90 cm² (range: 0.20-4.50) versus 4.25 cm² (range: 1.80-14.00; p<0.001).”

    From Polynucleotides and Polydeoxyribonucleotides for Skin Rejuvenation, Postoperative Scar Prevention, and Wound Healing: A Systematic Review of Randomized Clinical Trials (2026) · cites this paper as [8]

    The Results section, “Wound surface area” (page unavailable), reports a smaller wound surface area in the PDRN group than in controls at week 4, with P<0.001. It refers to Table 3, but the passages available in our copy do not give the claimed medians or ranges, so those figures cannot be verified. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 22

  1. [1]Defloor T The risk of pressure sores: a conceptual scheme J Clin Nurs 1999 8 206 216 10401354
  2. [2]Baumgarten M Margolis DJ Localio AR Kagan SH Lowe RA Kinosian B Holmes JH Abbuhl SB Kavesh W Ruffin A Pressure ulcers among elderly patients early in the hospital stay J Gerontol A Biol Sci Med Sci 2006 61 749 754 16870639
  3. [3]Pressure ulcers in America: prevalence, incidence, and implications for the future. An executive summary of the National Pressure Ulcer Advisory Panel monograph Adv Skin Wound Care 2001 14 208 215 11902346
  4. [4]Stausberg J Kröger K Maier I Schneider H Niebel W Pressure ulcers in secondary care: incidence, prevalence, and relevance Adv Skin Wound Care 2005 18 140 145 15840982
  5. [5]Lee MJ Risk factors of pressure ulcers among elderly in the Geriatric Hospital Seoul Ewha Woman University 2010 Dissertation
  6. [6]Hopkins A Dealey C Bale S Defloor T Worboys F Patient stories of living with a pressure ulcer J Adv Nurs 2006 56 345 353 17042814
  7. [7]Bergstorm N Patients at risk for pressure ulcers and evidence-based care for pressure ulcer prevention Bader D Bouten C Colin D Oomens C Pressure ulcer research: current and future perspectives Berlin Springer 2005 35 50
  8. [8]Parish LC Dryjski M Cadden S Prospective clinical study of a new adhesive gelling foam dressing in pressure ulcers Int Wound J 2008 5 60 67 18336380 PMC7951256
  9. [9]Guizzardi S Galli C Govoni P Boratto R Cattarini G Martini D Belletti S Scandroglio R Polydeoxyribonucleotide (PDRN) promotes human osteoblast proliferation: a new proposal for bone tissue repair Life Sci 2003 73 1973 1983 12899922
  10. [10]Lazzarotto M Tomasello EM Caporossi A Clinical evaluation of corneal epithelialization after photorefractive keratectomy in patients treated with polydeoxyribonucleotide (PDRN) eye drops: a randomized, double-blind, placebo-controlled trial Eur J Ophthalmol 2004 14 284 289 15309972
  11. [13]Squadrito F Bitto A Altavilla D Arcoraci V De Caridi G De Feo ME Corrao S Pallio G Sterrantino C Minutoli L The effect of PDRN, an adenosine receptor A2A agonist, on the healing of chronic diabetic foot ulcers: results of a clinical trial J Clin Endocrinol Metab 2014 99 E746 E753 24483158
  12. [14]Ferreira MC Tuma P Jr Carvalho VF Kamamoto F Complex wounds Clinics (Sao Paulo) 2006 61 571 578 17187095
  13. [15]Jaul E Non-healing wounds: the geriatric approach Arch Gerontol Geriatr 2009 49 224 226 18838182
  14. [16]Fonder MA Lazarus GS Cowan DA Aronson-Cook B Kohli AR Mamelak AJ Treating the chronic wound: a practical approach to the care of nonhealing wounds and wound care dressings J Am Acad Dermatol 2008 58 185 206 18222318
  15. [17]Shin HS Oh HY The effect of platelet-rich plasma on wounds of OLETF rats using expression of matrix metalloproteinase-2 and -9 mRNA Arch Plast Surg 2012 39 106 112 22783508 PMC3385326
  16. [18]Choi J Minn KW Chang H The efficacy and safety of platelet-rich plasma and adipose-derived stem cells: an update Arch Plast Surg 2012 39 585 592 23233882 PMC3518000
  17. [19]Yang JD Choi DS Cho YK Kim TK Lee JW Choi KY Chung HY Cho BC Byun JS Effect of amniotic fluid stem cells and amniotic fluid cells on the wound healing process in a white rat model Arch Plast Surg 2013 40 496 504 24086800 PMC3785580
  18. [20]Kang BS Na YC Jin YW Comparison of the wound healing effect of cellulose and gelatin: an in vivo study Arch Plast Surg 2012 39 317 321 22872833 PMC3408275
  19. [21]Kim H Son D Choi TH Jung S Kwon S Kim J Han K Evaluation of an amniotic membrane-collagen dermal substitute in the management of full-thickness skin defects in a pig Arch Plast Surg 2013 40 11 18 23362475 PMC3556528
  20. [22]Chung KI Kim HK Kim WS Bae TH The effects of polydeoxyribonucleotide on the survival of random pattern skin flaps in rats Arch Plast Surg 2013 40 181 186 23730590 PMC3665858
  21. [23]Bitto A Galeano M Squadrito F Minutoli L Polito F Dye JF Clayton EA Calò M Venuti FS Vaccaro M Polydeoxyribonucleotide improves angiogenesis and wound healing in experimental thermal injury Crit Care Med 2008 36 1594 1602 18434887
  22. [24]Thellung S Florio T Maragliano A Cattarini G Schettini G Polydeoxyribonucleotides enhance the proliferation of human skin fibroblasts: involvement of A2 purinergic receptor subtypes Life Sci 1999 64 1661 1674 10328526

Cited by

Sorted by citations

Authors
Kim, J. Y., Pak, C. S., Park, J. H., Jeong, J. H., & Heo, C. Y.
Affiliations
Seoul National University (KR)
Corresponding author
Heo, Chan Yeong
Venue
Journal of Korean Medical Science
Publisher
XMLink
Published
2014
Volume
29
Issue
Suppl 3
Pages
S222
ISSN
  • 1011-8934 (ISSN-L)
  • 1598-6357
OpenAlex
W2157888591
Cited by
46
References
1
Citations by year
2026: 5 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 6 · 2017: 7 · 2016: 3 · 2015: 1
Type
conference abstract
Language
en
Open access
Locations
  • Journal of Korean Medical Science (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
  • Health Sciences › Health Professions › Occupational Therapy › Pressure Ulcer Prevention and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetic Foot Ulcer Assessment and Management
Keywords
polydeoxyribonucleotide, pressure ulcers, wound healing, intramuscular administration, wound size reduction, treatment efficacy
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Pressure Ulcer, Female, Humans, Injections, Intramuscular, Male, Middle Aged, Polydeoxyribonucleotides, Wound Healing, Treatment Outcome, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review