1.Use of hyperbaric oxygen therapy (HBOT) in chronic diabetic wound - A randomised trial
Nik Hisamuddin Nik Ab. Rahman ; Wan Mohd Zahiruddin Wan Mohammad ; Mohd Yazid Bajuri ; Rahmah Shafee
The Medical Journal of Malaysia 2019;74(5):418-424
Introduction: The purpose of this study was to investigate
the effect of hyperbaric oxygen therapy (HBOT) towards
diabetic foot ulcer (DFU) patients in addition to the standard
wound care management.
Methods: Fifty-eight diabetic patients with ulcers at Wagner
Grade 2 and above involved in this study after presented at
two study centres of tertiary teaching hospitals. The
assigned patients received conventional wound care with
additional HBOT given at 2.4 ATA for 90 minutes. Patients in
the control group who received conventional wound care
only were treated and observed for 30 days. The progress of
wound healing was observed and measured at day 0, 10, 20
and 30 of study. The data collected were analysed using
SPSS software (ver. 22) to study the association of HBOT
towards healing of the diabetic foot ulcers.
Results: Repeated Measures ANOVA analysis with
Greenhouse-Geisser correction indicated that the means of
wound size over time points (Day 0, 10, 20 and 30) among
patients under HBOT group were statistically significantly
different [F(1,61)=30.86, p<0.001)] compared to conventional
therapy group. Multiple logistic regression analysis showed
that HBOT group has nearly 44 times higher odds to achieve
at least 30% wound size reduction within the study period
(95%CI: 7.18, 268.97, p<0.001).
Conclusion: The results obtained in this study indicated that
as an adjunctive therapy to conventional wound care, HBOT
affected the rate of healing in diabetic foot ulcers
significantly in terms of wound size reduction when
compared to administering the conventional wound care
alone.