Effects of polydeoxyribonucleotide in the treatment of pressure ulcers
Open accessAbstract
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.
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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 measuredAt 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 measuredIn 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 measuredAt 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 measuredAt 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
At week 2, median PUSH scores were 10 (range 6-13) in the PDRN group versus 12.5 (range 10-14) in the control group (p=0.002).
“at week 2, 10 (range: 6-13) versus 12.5 (range: 10-14; p=0.002)”
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, “Pressure ulcer scale for healing” (page not specified), reports a lower PUSH score in the PDRN group at week 2 and gives P=0.002. Our copy does not provide the claimed medians or ranges, so those figures cannot be verified. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAt week 3, median PUSH scores were 8 (range 5-11) in the PDRN group versus 11 (range 8-14) in the control group (p=0.001).
“at week 3, 8 (range: 5-11) versus 11 (range: 8-14; 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 (‘Pressure ulcer scale for healing’; page unavailable) reports a lower PUSH score in the PDRN group than in controls at week 3, with P=0.001. The passages in our copy do not give the claimed medians of 8 and 11 or their ranges, so those figures cannot be verified. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAt week 1, median PUSH scores were 11 (range 8-14) in the PDRN group versus 13 (range 10-15) in the control group (p=0.008).
“At week 1, the median PUSH scores were 11 (range: 8-14) versus 13 (range: 10-15; p=0.008)”
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 (‘Pressure ulcer scale for healing’; page unavailable) reports a lower PUSH score in the PDRN group than in controls at week 1, with P=0.008. The passages in our copy do not give the claimed medians of 11 and 13 or their ranges, so those figures cannot be verified. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAt week 4, median PUSH scores were 4 (range 2-10) in the PDRN group versus 11 (range 6-13) in the control group (p<0.001).
“and at week 4, 4 (range: 2-10) versus 11 (range: 6-13; 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 (Pressure ulcer scale for healing; page not available) reports a lower PUSH score in the PDRN group than in controls at week 4, with P<0.001. The passages in our copy do not give the claimed medians or ranges, so those numbers cannot be verified. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn Kim et al. 2014, PDRN significantly reduced wound surface area.
“PDRN significantly reduced wound surface area and improved PUSH scores throughout follow-up”
In Kim et al. 2014, PDRN significantly improved PUSH scores throughout follow-up.
“PDRN significantly reduced wound surface area and improved PUSH scores throughout follow-up”
Studies judged as having some concerns included Hong et al. [11], Vera et al. [14], and Kim et al. [8], primarily because of insufficient reporting of allocation concealment, deviations from intended interventions, or incomplete reporting of prespecified analyses.
“Studies judged as having some concerns included Hong et al. [11], Vera et al. [14], and Kim et al. [8], primarily because of insufficient reporting of allocation concealment, deviations from intended interventions, or incomplete reporting of prespecified analyses.”
Pressure Ulcer Scale for Healing (PUSH Tool 3.0) scores were significantly lower in the PDRN group at each time point.
“Secondary outcome assessment using the Pressure Ulcer Scale for Healing (PUSH Tool 3.0) similarly demonstrated significantly lower scores in the experimental group at each time point.”
No adverse effects were reported throughout the PDRN pressure ulcer treatment period.
“no adverse effects were reported throughout the treatment period.”
Hematological examinations at week 4 revealed no abnormal findings in either group.
“Hematological examinations conducted at week 4 revealed no abnormal findings in either group”
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Cites
Rubegni, P., De Aloe, G., Mazzatenta, C., Cattarini, L., & Fimiani, M. (2001) · Current Medical Research and Opinion · doi:10.1185/0300799039117047 · Cited by 56
Flagged first, then by citations
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Polydeoxyribonucleotide: A Promising Biological Platform to Accelerate Impaired Skin Wound Healing
Galeano, M., Pallio, G., Irrera, N., Mannino, F., Bitto, A., Altavilla, D., Vaccaro, M., Squadrito, G., Arcoraci, V., Colonna, M. R., et al. (2021) · Pharmaceuticals · doi:10.3390/ph14111103 · Cited by 79 · see citing works
Colangelo, M. T., Galli, C., & Guizzardi, S. (2020) · Regenerative Medicine · doi:10.2217/rme-2019-0118 · Cited by 59 · see citing works
Alhussain, A. M., Turki M. Albusayys, S., Alfhadi, M. A., Bu Mozah, S. A., AlShammari, S. S. S., Alanazi, H. A. M., Adil Alqazanli, S., Nouruldeen Alabdullah, A., M. ALrashidi, N., Almazrou, A. A., et al. (2026) · Cureus · doi:10.7759/cureus.112403 · Cited by 1 · see citing works
- 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
- PMC
- PMC4248009
- 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
- gold
- doi.org
- Licence
- 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
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