Effects of Oxygen Therapy on Patients with a Chronic Wound: A Systematic Review and Meta-analysis.
Adv Skin Wound Care
; 37(5): 1-9, 2024 May 01.
Article
em En
| MEDLINE
| ID: mdl-38648247
ABSTRACT
OBJECTIVE:
To synthesize the effects of oxygen-based therapy on patients with a chronic wound. DATA SOURCES The authors searched PubMed, EMBASE, and Cochrane Central Register of Controlled Trials for relevant randomized controlled trials from database inception. Investigators measured risk of bias using the Cochrane Collaboration's Risk of Bias tool. STUDY SELECTION The included randomized controlled trials focused on the effects (short- or long-term wound healing, amputation rate, percentage of reduction in ulcer size, and poststudy transcutaneous oxygen measurement [TcPO2]) of oxygen-based therapy (including hyperbaric oxygen therapy, topical oxygen therapy, and continuous diffusion of oxygen) on patients with a chronic wound. DATA EXTRACTION Researchers extracted information regarding participant characteristics and primary and secondary outcomes from the included studies. DATASYNTHESIS:
Pooled effects of 31 included studies showed that patients treated with oxygen had better short-term wound healing (risk ratio [RR], 1.544; 95% CI, 1.199 to 1.987), a higher percentage reduction in the ulcer area (standardized mean difference [SMD], 0.999; 95% CI, 0.439 to 1. 599), lower amputation rates (RR, 0.529; 95% CI, 0.325 to 0.862), shorter wound healing time (SMD, -0.705; 95% CI, -0.908 to -0.501), and higher poststudy TcPO2 (SMD, 2.128; 95% CI, 0.978 to 3.278) than those in the control group. For long-term wound healing, there was no statistically significant difference (RR, 1.227; 95% CI, 0.976 to 1.542).CONCLUSIONS:
Oxygen-based therapy improves short-term parameters of wound healing in patients with chronic wounds.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cicatrização
/
Oxigenoterapia Hiperbárica
Limite:
Humans
Idioma:
En
Revista:
Adv Skin Wound Care
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2024
Tipo de documento:
Article