Evidence map›Paper›PMID 21184071›Full record

SynthesisWorld journal of surgery2011

Hyperbaric oxygen therapy: solution for difficult to heal acute wounds? Systematic review.

Anne M Eskes, Dirk T Ubbink, Maarten J Lubbers, Cees Lucas, Hester Vermeulen

Open access · hybridAbstract readComparative StudySystematic Review
In one paragraph

Synthesis in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Hyperbaric oxygen therapy for treating acute surgical and traumatic wounds.The Cochrane database of systematic reviews · 2013
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Burn wound healing and treatment: review and advancements.Critical care (London, England) · 2015
    Review
  12. Curbing Inflammation in Skin Wound Healing: A Review.International journal of inflammation · 2015
    Review
  13. Article
  14. Review
  15. Article
  16. [Hyperbaric oxygenation for necrotizing soft tissue infections: pro].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2012
    Review
  17. Article
  18. Cutaneous wound healing: Current concepts and advances in wound care.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anne M EskesDepartment of Quality Assurance & Process Innovation, Room A3-503, Academic Medical Center, University of Amsterdam, Meibergdreef 9, PO Box 22700, Amsterdam 1100 DE, The Netherlands.
Dirk T Ubbink
Maarten J Lubbers
Cees Lucas
Hester Vermeulen
University of Amsterdam · NLAcademic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperbaric oxygen therapy (HBOT) is used to treat various wound types. However, the possible beneficial and harmful effects of HBOT for acute wounds are unclear.

methodsWe undertook a systematic review to evaluate the effectiveness of HBOT compared to other interventions on wound healing and adverse effects in patients with acute wounds. To detect all available randomized controlled trials (RCTs) we searched five relevant databases up to March 2010. Trial selection, quality assessment, data extraction, and data synthesis were conducted by two of the authors independently.

resultsWe included five trials, totaling 360 patients. These trials, with some methodologic flaws, included different kinds of wound and focused on different outcome parameters, which prohibited meta-analysis. A French trial (n = 36 patients) reported that significantly more crush wounds healed with HBOT than with sham HBOT [relative risk (RR) 1.70, 95% confidence interval (CI) 1.11-2.61]. Moreover, there were significantly fewer additional surgical procedures required with HBOT (RR 1.60, 95% CI 1.03-2.50), and there was significantly less tissue necrosis (RR 1.70, 95% CI 1.11-2.61). In one of two American trials (n = 141) burn wounds healed significantly quicker with HBOT (P < 0.005) than with routine burn care. A British trial (n = 48) compared HBOT with usual care. HBOT resulted in a significantly higher percentage of healthy graft area in split skin grafts (RR 3.50, 95% CI 1.35-9.11). In a Chinese trial (n = 145) HBOT did not significantly improve flap survival in patients with limb skin defects.

conclusionsHBOT, if readily available, appears effective for the management of acute, difficult to heal wounds.

Indexed as

Acute DiseaseEvidence-Based MedicineFemaleHumansHyperbaric OxygenationInjury Severity ScoreMalePrognosisRandomized Controlled Trials as TopicRisk AssessmentTreatment OutcomeWound HealingWounds and Injuries

Identifiers

PMID21184071
PMCPMC3032900
OpenAlexW2050717803

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.