Influence Of Hyperbaric Oxygen Therapy On Diabetic Foot Ulcer Treatment

Abstract

Introduction: Hyperbaric oxygen therapy is a widely used treatment modality for difficult-to-heal wounds. However, its use is subject to debate. Chronic diabetic foot ulcers are a highly prevalent condition with high morbidity and mortality. Objective: To evaluate the indications for hyperbaric oxygen therapy in the management of diabetic foot ulcers. Method: An electronic search was conducted in the BVS and SciELO databases using the terms "hyperbaric oxygen therapy," "diabetic foot," and "treatment" with the AND operator. Results: Nineteen articles were selected, including randomized clinical trials and systematic reviews with meta-analyses, showing varying degrees of evidence and heterogeneous results for primary and secondary outcomes, especially total ulcer closure and amputation rate. Conclusion: The authors concluded that there is a potential for hyperbaric oxygen therapy, as studies demonstrated a reduction in the lesion area and the rate of below-knee amputations, without altering mortality