The use of transcutaneous oximetry to predict complications of chronic wound healing: A systematic review and meta-analysis
作者： Kyle A. Arsenault , Joey McDonald , P. J. Devereaux , Kristian Thorlund , Jacques G. Tittley
DOI: 10.1111/J.1524-475X.2011.00731.X
关键词:
摘要: Transcutaneous oximetry (P(tc) O(2) ) has been proposed as a method to predict nonhealing of chronic wounds and the occurrence healing complications. However, validity this an independent predictor optimal threshold value for tool are poorly defined. We undertook systematic review meta-analysis address these questions, searching five major medical databases, relevant articles, reference lists. included all studies that used multivariable analysis evaluate P(tc) its ability wound Article selection data abstraction were conducted independently in duplicate. Four studies, enrolling 901 patients with 910 lower extremity wounds, met our inclusion criteria. These showed peri-wound level below cutoff 20 mmHg or 30 mmHg was complications (odds ratio 3.21, 95% confidence interval 1.07-9.69, I(2) = 77%). A most frequently strongest association. This limited by small number possible reporting bias, heterogeneity. results suggest measurements have prognostic assessment but further research is required confirm findings define value.
sci-hub.se 参考文章(25)
Frank Werdin, Hans-Oliver Rennekampff, Mayer Tennenhaus, Hans-Eberhardt Schaller, Evidence-based Management Strategies for Treatment of Chronic Wounds ePlasty. ,vol. 9, ,(2009)
MH Bennett, GC Hawkins, AE van der Hulst, The outcome of chronic wounds following hyperbaric oxygen therapy: a prospective cohort study the first year interim report South Pacific Underwater Medicine Society and European Underwater and Baromedical Society. ,(2006)
Carter Sa, Tate Rb, The relationship of the transcutaneous oxygen tension, pulse waves and systolic pressures to the risk for limb amputation in patients with peripheral arterial disease and skin ulcers or gangrene. International Angiology. ,vol. 25, pp. 67- 72 ,(2006)
M. H. Edwards, K. J. O'Dwyer, The association between lowest palpable pulse and wound healing in below knee amputations. Annals of The Royal College of Surgeons of England. ,vol. 67, pp. 232- 234 ,(1985)
E. Faglia, F. Favales, A. Aldeghi, P. Calia, A. Quarantiello, G. Oriani, M. Michael, P. Campagnoli, A. Morabito, Adjunctive Systemic Hyperbaric Oxygen Therapy in Treatment of Severe Prevalently Ischemic Diabetic Foot Ulcer: A randomized study Diabetes Care. ,vol. 19, pp. 1338- 1343 ,(1996) , 10.2337/DIACARE.19.12.1338
F. Gottrup, J. Apelqvist, The challenge of using randomized trials in wound healing British Journal of Surgery. ,vol. 97, pp. 303- 304 ,(2010) , 10.1002/BJS.7030
Shigeru Ichioka, Hideki Yokogawa, Naomi Sekiya, Sachio Kouraba, Ai Minamimura, Norihiko Ohura, Hiromi Hasegawa, Takashi Nakatsuka, Determinants of wound healing in bone marrow‐impregnated collagen matrix treatment: Impact of microcirculatory response to surgical debridement Wound Repair and Regeneration. ,vol. 17, pp. 492- 497 ,(2009) , 10.1111/J.1524-475X.2009.00508.X
C.M.G. Keyzer-Dekker, E. Moerman, V.J. Leijdekkers, A.C. Vahl, Can transcutaneous oxygen tension measurement determine re-amputation levels? Journal of Wound Care. ,vol. 15, pp. 27- 30 ,(2006) , 10.12968/JOWC.2006.15.1.26860
E. Faglia, F. Favales, A. Quarantiello, P. Calia, P. Clelia, G. Brambilla, A. Rampoldi, A. Morabito, Angiographic Evaluation of Peripheral Arterial Occlusive Disease and Its Role as a Prognostic Determinant for Major Amputation in Diabetic Subjects With Foot Ulcers Diabetes Care. ,vol. 21, pp. 625- 630 ,(1998) , 10.2337/DIACARE.21.4.625
Robert J. Goldman, Richard Salcido, More than One Way to Measure a Wound: An Overview of Tools and Techniques Advances in Skin & Wound Care. ,vol. 15, pp. 236- 243 ,(2002) , 10.1097/00129334-200209000-00011