Evaluation of TCOM/HBOT practice guideline for the treatment of foot burns occurring in diabetic patients.

摘要: Abstract Objectives A multidisciplinary team developed an evidence-based guideline for the management of foot burns occurring in diabetic patients that included transcutaneous oxygen measurements (TCOM) and application hyperbaric therapy (HBOT) to selected patients. This report represents evaluation preliminary TCOM/HBOT data. Methods is a retrospective review with diabetes mellitus (DM) who were admitted single American Burn Association (ABA) verified burn center treatment burns. Patients treated via if they over age 16, initial care involving feet between 4/01/2012 7/22/2013, had known or new diagnosis DM. Results Eighteen according guideline, 14 men 4 women. Average was 54 years + 14.78. BMI 30.63 + 6.34. Median size 0.88% TBSA (median partial thickness 1% median full 0.5%). The average HbA1c 9.08 + 2.42. Seven received pre-operative HBOT, two post-operative HBOT three healed their wounds alone. hospital length stay 13.39 days + 9.94 significantly longer group receiving HBOT. Admission not predictor need . Conclusions While has been widely applied burns, use incorporating can provide systematic way evaluate patients’ microcirculation ability heal foot. incorporation TCOM determination DM warrant continued study.