Use of the Hyperbaric Chamber Versus Conventional Treatment for the Prevention of Amputation in Chronic Diabetic Foot and the Influence on Fitting and Rehabilitation: A Systematic Review
2024

Hyperbaric Chamber vs. Conventional Treatment for Diabetic Foot Ulcers

Sample size: 545 publication Evidence: moderate

Author Information

Author(s): María Dolores Apolo-Arenas, Laura Guerrero-Nogales, César Luis Díaz-Muñoz, Berta Caro-Puértolas, José Alberto Parraca, Alejandro Caña-Pino

Primary Institution: University of Extremadura, Badajoz, Spain

Hypothesis

Does hyperbaric oxygen therapy (HBOT) improve outcomes in patients with diabetic foot ulcers compared to standard care?

Conclusion

The use of a hyperbaric chamber alongside standard care is beneficial for patients with chronic diabetic foot ulcers, leading to better wound healing and reduced amputation rates.

Supporting Evidence

  • Most studies showed positive results for diabetic foot ulcers, amputation prevention, and rehabilitation.
  • Significant improvements were noted in wound healing and amputation rates with hyperbaric oxygen therapy.
  • Patients receiving HBOT had better outcomes compared to those receiving standard care alone.

Takeaway

Using a special oxygen chamber can help heal foot wounds in people with diabetes and may prevent the need for amputations.

Methodology

This systematic review analyzed seven studies comparing hyperbaric oxygen therapy with standard care for diabetic foot ulcers.

Potential Biases

The risk of bias was assessed, with some studies showing higher risks due to non-randomization.

Limitations

The review included only studies in English and Spanish, and some studies were not randomized, which may affect the results.

Participant Demographics

All participants were over 18 years old with Type I or II diabetes and had diabetic foot ulcers classified between Wagner scale II and IV.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/ijvm/8450783

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