Hyperbaric oxygen treatment outcome for different indications from a single center
| Autor: | John N. Graber, Timothy M. Sullivan, Jason Q. Alexander, Erin Isaacson, Deana L. Klosterman, Ross Garberich, Andrew H. Cragg, Jesse Manunga, Peter Alden, Brandon R Porten, Adnan Z. Rizvi, Jenny Seong, Nedaa Skeik |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Osteoradionecrosis Minnesota Treatment outcome Single Center Surgical Flaps Postoperative Complications Refractory medicine Humans Aged Retrospective Studies Hyperbaric Oxygenation Wound Healing business.industry Osteomyelitis Soft tissue Retrospective cohort study General Medicine Skin Transplantation Middle Aged medicine.disease Diabetic Foot Surgery Diabetic foot ulcer Treatment Outcome Chronic Disease Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of vascular surgery. 29(2) |
| ISSN: | 1615-5947 |
| Popis: | Background Hyperbaric oxygen (HBO) is used as an adjunctive therapy for a variety of indications. However, there is a lack of high-quality research evaluating HBO treatment outcomes for different indications available in the current literature. Methods We retrospectively reviewed all patients who underwent HBO therapy at a single hyperbaric center from January 2010 to December 2013 using predetermined criteria to analyze successful, improved, or failed treatment outcomes for the following indications: chronic refractory osteomyelitis, diabetic foot ulcer, failed flap or skin graft, osteoradionecrosis, soft tissue radiation necrosis, and multiple coexisting indications. Results Among the included 181 patients treated with adjunctive HBO at our center, 81.8% had either successful or improved treatment outcomes. A successful or improved outcome was observed in 82.6% of patients treated for chronic refractory osteomyelitis (n = 23), 74.1% for diabetic foot ulcer (n = 27), 75.7% for failed flap or skin graft (n = 33), 95.7% for osteoradionecrosis (n = 23), 88.1% for soft tissue radiation necrosis (n = 42), and 72.4% for multiple coexisting indications (n = 29). Among 4 patients treated for other indications, 100% of the cases were either successful or improved. Conclusions This study has provided a comprehensive outcome survey of using HBO for the previously mentioned indications at our center. It supplements the literature with more evidence to support the consideration of HBO in different indications. |
| Databáze: | OpenAIRE |
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