Safe Use of Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers: A Multidisciplinary Approach to Minimize Adverse Effects
Küçük Resim Yok
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hindawi Limited
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose. The purpose of this study is to evaluate the side effects associated with hyperbaric oxygen therapy and provide recommendations to prevent them in patients with diabetic foot ulcers. Introduction. The use of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers remains a contentious issue, and minimizing side effects is critical. While the incidence of side effects related to hyperbaric oxygen (HBO2) therapy is low, it is essential to evaluate cases in a multifaceted and interdisciplinary manner to prevent adverse outcomes. Methods. A retrospective cohort study was conducted over the period of 2018-2020, involving a dataset of 100 patients. The primary objective of the study was to examine the frequency and types of side effects experienced by patients who underwent hyperbaric oxygen therapy (HBO) for diabetic foot ulcers (DFUs). In addition, we analyzed various wound characteristics, characteristics of hospitalizations, the surgical or medical interventions received by patients, and laboratory parameters including CRP levels, total blood count, culture results, HbA1c levels, duration of diabetes, treatment received for diabetes, and antibiotic therapy regimens. Results. The percentage of patients who experienced side effects was as low as 6%, and none of them were critical. The most common side effect was discomfort due to the confined space in the chamber. Conclusion. Appropriate patient selection, combined with a multidisciplinary approach to evaluate eligibility, is crucial to avoid adverse side effects. Patient education and early screening for side effects are also essential. Since various treatment protocols exist for HBO2 therapy, pooled data from different protocols may be misleading. Further studies focused on side effects with specific indications are necessary. © 2023 Arman Vahabi et al.
Açıklama
Anahtar Kelimeler
C reactive protein, hemoglobin A1c, adult, adverse event, adverse outcome, aged, Article, Candida albicans, claustrophobia, cohort analysis, comorbidity, congestive heart failure, coronary artery disease, diabetic foot, disease exacerbation, Escherichia coli, female, follow up, human, hyperbaric oxygen therapy, hypertension, lung edema, major clinical study, male, medical history, medicare, middle aged, middle ear barotrauma, middle ear pressure, myopia, otalgia, patient education, patient safety, patient selection, Pseudomonas aeruginosa, retrospective study, risk factor, seizure, treatment contraindication, wound care, wound healing
Kaynak
Interdisciplinary Perspectives on Infectious Diseases
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
2023
