Hyperbaric Oxygen Therapy in Diabetics With Chronic Foot Ulcers and Improvement of Quality of Life
Primary Purpose
Diabetic Foot Ulcer, Diabetes
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Hyperbaric oxygen therapy
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Foot Ulcer focused on measuring hyperbaric oxygen therapy, diabetic foot ulcer, wound healing, inflammation, glycemic control, amputation, bacterial infection, quality of life
Eligibility Criteria
Inclusion Criteria:
- over 20 years of age
- a history of diabetes and a diagnosis of diabetic foot
- a wound classification of Grade 3 or below
- clear conscious and willing to participate in this study
- a signed consent form
Exclusion Criteria:
- less than 20 years of age, unwilling to participate
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
hyperbaric oxygen therapy
Control
Arm Description
The experimental group received treatments in a hyperbaric chamber for 120-min per session, once per day, and five days per week for four consecutive weeks (20 treatment sessions).
The control group received only routine care.
Outcomes
Primary Outcome Measures
wound healing
The Wagner Ulcer Grade Classification System for wound physiological index
Secondary Outcome Measures
inflammation index
Erythrocyte sedimentation rate, ESR; C-reactive protein, CRP
amputation rate
Number of patients undergo surgical removal of a limb
survival rate of tissue in the affected limb
blood flow perfusion scan
bacteriological wound cultures
collect and culture bacteria from the wound to see whether a wound is infected, to identify the bacteria causing the infection
glycemic control
Glycated Hemoglobin, HbA1c Hemoglobin, HbA1c
Full Information
NCT ID
NCT02328508
First Posted
December 25, 2014
Last Updated
December 30, 2014
Sponsor
Chen-Yu Chen
Collaborators
I-Shou University
1. Study Identification
Unique Protocol Identification Number
NCT02328508
Brief Title
Hyperbaric Oxygen Therapy in Diabetics With Chronic Foot Ulcers and Improvement of Quality of Life
Official Title
Hyperbaric Oxygen Therapy in Diabetics With Chronic Foot Ulcers and Improvement of Quality of Life
Study Type
Interventional
2. Study Status
Record Verification Date
December 2014
Overall Recruitment Status
Completed
Study Start Date
June 2011 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Chen-Yu Chen
Collaborators
I-Shou University
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study evaluated the effect of hyperbaric oxygen therapy (HBOT) on wound healing, inflammation index, glycemic control, amputation rate, survival rate of tissue, bacterial wound cultures, and quality of life (QOL) in diabetic foot ulcer (DFU) patients with diabetes.
Detailed Description
OBJECTIVE - This study evaluated the effect of hyperbaric oxygen therapy (HBOT) on wound healing, inflammation index, glycemic control, amputation rate, survival rate of tissue, bacterial wound cultures, and quality of life (QOL) in diabetic foot ulcer (DFU) patients with diabetes.
RESEARCH DESIGN AND METHODS - This study was a randomized, single-center clinical trial. The effects of HBOT on patients in the experimental group were compared with the control group received only routine care. HBOT was carried out in a hyperbaric chamber for 120-min per session, five days a week for four consecutive weeks (20 treatment sessions). Data were collected at 4 segments: pre-treatment (before first administration of HBOT; T1), during treatment (at the tenth administration of HBOT; T2), post-treatment (at the twentieth administration of HBOT; T3), and treatment follow-up (two weeks after the last therapy ended; T4).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Foot Ulcer, Diabetes
Keywords
hyperbaric oxygen therapy, diabetic foot ulcer, wound healing, inflammation, glycemic control, amputation, bacterial infection, quality of life
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
38 (Actual)
8. Arms, Groups, and Interventions
Arm Title
hyperbaric oxygen therapy
Arm Type
Experimental
Arm Description
The experimental group received treatments in a hyperbaric chamber for 120-min per session, once per day, and five days per week for four consecutive weeks (20 treatment sessions).
Arm Title
Control
Arm Type
No Intervention
Arm Description
The control group received only routine care.
Intervention Type
Device
Intervention Name(s)
Hyperbaric oxygen therapy
Other Intervention Name(s)
HBOT
Intervention Description
HBOT was carried out in a hyperbaric chamber for 120-min per session, five days a week for four consecutive weeks (20 treatment sessions).
Primary Outcome Measure Information:
Title
wound healing
Description
The Wagner Ulcer Grade Classification System for wound physiological index
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
inflammation index
Description
Erythrocyte sedimentation rate, ESR; C-reactive protein, CRP
Time Frame
4 weeks
Title
amputation rate
Description
Number of patients undergo surgical removal of a limb
Time Frame
4 weeks
Title
survival rate of tissue in the affected limb
Description
blood flow perfusion scan
Time Frame
4 weeks
Title
bacteriological wound cultures
Description
collect and culture bacteria from the wound to see whether a wound is infected, to identify the bacteria causing the infection
Time Frame
4 weeks
Title
glycemic control
Description
Glycated Hemoglobin, HbA1c Hemoglobin, HbA1c
Time Frame
4 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
over 20 years of age
a history of diabetes and a diagnosis of diabetic foot
a wound classification of Grade 3 or below
clear conscious and willing to participate in this study
a signed consent form
Exclusion Criteria:
less than 20 years of age, unwilling to participate
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chen-Yu Chen, Master
Organizational Affiliation
Chang Gung Memorial Hospital
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
Hyperbaric Oxygen Therapy in Diabetics With Chronic Foot Ulcers and Improvement of Quality of Life
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