Evidence map›Paper›PMID 23555347›Full record

ArticleAnnals of vascular diseases2008

Immersing Feet in Carbon Dioxide-enriched Water Prevents Expansion and Formation of Ischemic Ulcers after Surgical Revascularization in Diabetic Patients with Critical Limb Ischemia.

Hisae Hayashi, Sumio Yamada, Yoshitaka Kumada, Hiroshi Matsuo, Takanobu Toriyama, Hirohisa Kawahara

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Annals of vascular diseases, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02239419 (Evaluation of the Clinical Utility, Efficacy and Safety of a Novel Medical Device), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.3field-weighted citation impact, top 33% 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.

NCT02239419 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Evaluation of the Clinical Utility, Efficacy and Safety of a Novel Medical Device (Carbothera) in the Treatment of Foot Ulcers

TypeinterventionalSponsorUniversity of ManitobaRan2014 to 2016Enrolled40ConditionsCritical Lower Limb Ischemia, Critical Limb Ischemia, Foot Ulcer, Skin UlcerationArmsCO2-Enriched Tap Water (Carbothera), Non-CO2-Enriched Tap Water
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Interactions between OMaterials (Basel, Switzerland) · 2022
    Article
  6. Article
  7. Epidemiologic and Molecular Investigation of a MRSA Outbreak Caused by a Contaminated Bathtub for Carbon Dioxide Hydrotherapy and Review of the Literature.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2020
    Article
  8. RX of sickle cell leg ulcers.International wound journal · 2016
    Article
  9. Article
  10. 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

6 authors at 2 institutions in 1 country.

Hisae HayashiProgram in Physical and Occupational Therapy, Graduate School of Medicine, Nagoya University, Nagoya, Japan ; Department of Rehabilitation, Nagoya Kyoritsu Hospital, Nagoya, Japan.
Sumio Yamada
Yoshitaka Kumada
Hiroshi Matsuo
Takanobu Toriyama
Hirohisa Kawahara
Hiroshima Kyoritsu Hospital · JPNagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated the effect of immersion of feet in CO2-enriched water for preventing expansion and formation of ischemic ulcer in critical limb ischemia of diabetic patients after surgical revascularization. MATERIALS AND

methodsEligible patients were allocated CO2 group (CO2 immersion plus standard care) or control group (standard care alone) and were followed up for 3 months after surgical revascularization. The end point is defined as an expansion of a target ulcer (more than 101% of original size) or the formation of new ulcers during the follow-up period.

resultsFifty-nine patients out of originally enrolled 66 patients with type II diabetes were included in intention-to-treat population. The cumulative prevention rate for ischemic ulcer after 3 months was 97.1% in the CO2 group, while, in the control group, it was 77.8%, i.e., significantly lower than the CO2 group (P = 0.012, log-rank test). The transcutaneous oxygen pressure increased significantly only in the CO2 group, from 56 ± 14 to 63 ± 15 mmHg (P < 0.01, Wilcoxon signed rank test), in 3 months.

conclusionThese results suggest that addition of CO2 immersion to standard care of critical limb ischemia in diabetic patients improves early postoperative outcome after vascular surgery.

Indexed as

adjunctive treatmentscarbon dioxidecritical limb ischemiarevascularizationtranscutaneous oxygen pressure

Identifiers

PMID23555347
PMCPMC3595724
OpenAlexW2076618127

What OpenQuestion holds

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Registered trials

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.