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ACTA VULNOLOGICA

A Journal on Physiopathology and Therapy of Chronic Cutaneous Ulcers


Official Journal of the Italian Association for Cutaneous Ulcers
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Acta Vulnologica 2015 June;13(2):65-76

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English, Italian

Management and outcome of patients with chronic wound treated by hyperbaric oxygenation

Nasole E. 1, 2, Spazzapan L. 1, Solagna E. 1, Zanon V. 2, 3, Nicoletti C. 1

1 Unit of Vulnology and Diabetic Foot, Casa di Cura “Dr Pederzoli”, Peschiera del Garda, Varese, Italy; 2 Società Italiana di Medicina Subacquea e Iperbarica, Naples, Italy; 3“Renato Moroni” Unit of Hyperbaric Oxygen Therapy, Città di Brescia Clinical Institute, Brescia, Italy


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AIM: The aim of this paper was to evaluate the management and outcome of patients with chronic wound treated by hyperbaric oxygenation
METHODS: The authors report their survey that analyzes 173 patients, suffering from cutaneous ulcers of various origin and exposed to hyperbaric oxygen treatment. One hundred and seven out of them underwent advanced medication procedures, that were performed at the hyperbaric medicine unit by a dedicated team that was adequately trained in vulnology, so to get a proper evaluation on both patient therapy compliance and outcome.
RESULTS: Where compared to those patient who underwent their medications outside the hyperbaric center, the higher frequency in patients’ dressing renewal (9.2 medications [HBO group]) vs. 1.4 [control] during the 32.5 hyperbaric Tx, almost 1 medication every 3 days in the former group) the higher the percentage that has been observed as per clinical efficacy and wound improvement (78.63% vs. 52.85%) as well as the better has been the compliance shown in the completion of the hyperbaric therapy protocol proposed (72.7% vs. 38.5%).
CONCLUSION: This study shows that an integrated vulnology office, dedicated to those patients suffering from trophic skin ulcers, and an advanced “intensive” attention, given to them by an experienced team, is capable to lead to a better patient compliance, as per one’s adhering to the dose and timing proposed for the therapy, and to a better final outcome of the case.

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