ACP Journal Club. Review: in patients with chronic diabetic foot ulcers, hyperbaric oxygen reduces major amputations.
نویسندگان
چکیده
Review scope Included studies compared usual care (e.g., control of glycemia, revascularization, debridement, off-loading, and metabolic and infection controls) plus HBO with usual care alone in patients with type 1 or type 2 diabetes and chronic lower-extremity ulcers attributable to diabetes. Outcomes included ulcer healing (complete epithelialization of the wound), major (above the ankle joint) or minor (below the ankle joint) amputation, and adverse events.
منابع مشابه
Systematic review of the effectiveness of hyperbaric oxygenation therapy in the management of chronic diabetic foot ulcers.
OBJECTIVE To assess the efficacy and safety of hyperbaric oxygenation (HBO) therapy as adjunctive treatment for diabetic foot ulcers with a systematic review and meta-analysis of the literature. METHODS MEDLINE, EMBASE, and the Cochrane Library were searched to find relevant articles published up to April 20, 2012, without restriction as to language or publication status. All controlled trial...
متن کامل[Hyperbaric oxygen therapy for chronic diabetic wounds of the lower limbs--a review of the literature].
Chronic wounds of the lower limbs are a cause of severe morbidity in diabetic patients. Low oxygen tension around the wound is one of several critical factors, which mutually enhance the progression of a chronic ulcer. Hyperbaric oxygen therapy (HBO) is believed to improve wound healing by enhancing oxygen tension around the wound. While conventional therapies for diabetic foot ulcer are based ...
متن کاملHyperbaric oxygen for the treatment of diabetic foot ulcers: a systematic review.
OBJECTIVE A systematic review of randomized clinical trials (RCTs) to assess the additional value of hyperbaric oxygen therapy (HBOT) in promoting the healing of diabetic foot ulcers and preventing amputations was performed. METHODS MEDLINE, Embase, and the Cochrane Library were searched to identify RCTs in patients with diabetic foot ulcers published up to August 2013. Eligible studies repor...
متن کاملHyperbaric oxygen therapy as adjunctive treatment for diabetic foot ulcers.
Hyperbaric oxygen therapy (HBOT) has been suggested to improve healing of hard-to-heal diabetic foot ulcers. Although the wide use of HBOT as a treatment for diabetic foot ulcers has been founded on weak scientific ground, 2 well-designed randomized, double-blind, placebo-controlled studies have in recent years put HBOT on firmer ground as treatment for diabetic patients with chronic foot ulcer...
متن کاملSystematic reviews of wound care management: (3) antimicrobial agents for chronic wounds; (4) diabetic foot ulceration.
BACKGROUND Chronic wounds, including pressure sores, leg ulcers, diabetic foot ulcers and other kinds of wounds, healing by secondary intention are common in both acute and community settings. The prevention and treatment of chronic wounds includes many strategies, including the use of various wound dressings, bandages, antimicrobial agents, footwear, physical therapies and educational strategi...
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ورودعنوان ژورنال:
- Annals of internal medicine
دوره 159 4 شماره
صفحات -
تاریخ انتشار 2013