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Cochrane Database of Systematic Reviews

Oxigenoterapia hiperbárica para el tratamiento de las heridas traumáticas y quirúrgicas agudas

Información

DOI:
https://doi.org/10.1002/14651858.CD008059.pub3Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 16 diciembre 2013see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Heridas

Copyright:
  1. Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Cifras del artículo

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Contraer

Autores

  • Anne Eskes

    Quality Assurance & Process Innovation, Academic Medical Centre, University of Amsterdam & Amsterdam School of Health Professions, Amsterdam, Netherlands

  • Hester Vermeulen

    Department of Quality Assurance & Process Innovation, Academic Medical Centre, University of Amsterdam & Amsterdam School of Health Professions, Amsterdam, Netherlands

  • Cees Lucas

    Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Centre, University of Amsterdam, Amsterdam, Netherlands

  • Dirk T Ubbink

    Correspondencia a: Quality Assurance & Process Innovation, and Department of Surgery, Academic Medical Centre, University of Amsterdam, Amsterdam, Netherlands

    [email protected]

Contributions of authors

Anne Eskes: conceived the review question and developed the protocol; completed the first draft and edited the protocol; made an intellectual contribution to the protocol and approved the final version prior to submission; updated the original review.
Dirk T Ubbink: conceived the review question, secured funding and co‐ordinated the protocol development; edited and advised on the protocol; made an intellectual contribution and approved the final version prior to submission; updated the original review; and is guarantor of the work.
Cees Lucas: completed the first draft of the revision and advised on part of the protocol; made an intellectual contribution to the protocol, the original review and updated version, approved the final version prior to submission.
Hester Vermeulen: conceived the review question, secured funding and co‐ordinated the protocol development; edited and advised on the protocol; made an intellectual contribution and approved the final version prior to submission; updated the original review; and is guarantor of the work.

Contributions of editorial base

Nicky Cullum: edited the protocol and review; advised on methodology, interpretation and content; and approved the final review prior to submission.
Sally Bell‐Syer: co‐ordinated the editorial process; advised on methodology, interpretation and content; edited the protocol, review and review update.
Ruth Foxlee: designed the search strategy, edited the search methods section and ran the searches.
Rachel Richardson: edited and checked the review update.

Sources of support

Internal sources

  • No sources of support supplied

External sources

  • Infrastructure supplied by the hospital, Academic Medical Centre at the University of Amsterdam, Netherlands.

  • NIHR/Department of Health (England), (Cochrane Wounds Group), UK.

Declarations of interest

None of the authors have any conflict of interest.

Acknowledgements

We thank all the peer reviewers for reviewing the protocol and review for relevance, rigour and readability (Mike Bennett, Andrew Jull, Caroline Main, Frank Peinemann, Joan Webster, Durhane Wong‐Rieger and Gill Worthy). We thank Faridi van Etten for help with developing our search strategy and Jenny Bellorini who copy edited the text of our review. We also thank Maarten Lubbers for his contribution to the original review.

Version history

Published

Title

Stage

Authors

Version

2013 Dec 16

Hyperbaric oxygen therapy for treating acute surgical and traumatic wounds

Review

Anne Eskes, Hester Vermeulen, Cees Lucas, Dirk T Ubbink

https://doi.org/10.1002/14651858.CD008059.pub3

2010 Oct 06

Hyperbaric oxygen therapy for treating acute surgical and traumatic wounds

Review

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

https://doi.org/10.1002/14651858.CD008059.pub2

2009 Oct 07

Hyperbaric oxygen therapy for acute surgical and traumatic wounds

Protocol

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

https://doi.org/10.1002/14651858.CD008059

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Study flow diagram.
Figuras y tablas -
Figure 1

Study flow diagram.

Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.
Figuras y tablas -
Figure 2

Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
Figuras y tablas -
Figure 3

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.

Comparison 1 HBOT compared with usual care, Outcome 1 Complete survival (defined as at least 95% take) at day 7.
Figuras y tablas -
Analysis 1.1

Comparison 1 HBOT compared with usual care, Outcome 1 Complete survival (defined as at least 95% take) at day 7.

Comparison 2 HBOT compared with sham HBOT, Outcome 1 Complete healing.
Figuras y tablas -
Analysis 2.1

Comparison 2 HBOT compared with sham HBOT, Outcome 1 Complete healing.

Comparison 2 HBOT compared with sham HBOT, Outcome 2 Time to healing (days).
Figuras y tablas -
Analysis 2.2

Comparison 2 HBOT compared with sham HBOT, Outcome 2 Time to healing (days).

Comparison 2 HBOT compared with sham HBOT, Outcome 3 Adverse effects (additional surgical procedures).
Figuras y tablas -
Analysis 2.3

Comparison 2 HBOT compared with sham HBOT, Outcome 3 Adverse effects (additional surgical procedures).

Comparison 2 HBOT compared with sham HBOT, Outcome 4 Adverse effects (tissue necrosis).
Figuras y tablas -
Analysis 2.4

Comparison 2 HBOT compared with sham HBOT, Outcome 4 Adverse effects (tissue necrosis).

Comparison 2 HBOT compared with sham HBOT, Outcome 5 Amputations.
Figuras y tablas -
Analysis 2.5

Comparison 2 HBOT compared with sham HBOT, Outcome 5 Amputations.

Comparison 2 HBOT compared with sham HBOT, Outcome 6 Length of hospital stay.
Figuras y tablas -
Analysis 2.6

Comparison 2 HBOT compared with sham HBOT, Outcome 6 Length of hospital stay.

Comparison 3 HBOT compared with dexamethasone or heparin, Outcome 1 Complete healing HBOT vs dexamethasone.
Figuras y tablas -
Analysis 3.1

Comparison 3 HBOT compared with dexamethasone or heparin, Outcome 1 Complete healing HBOT vs dexamethasone.

Comparison 3 HBOT compared with dexamethasone or heparin, Outcome 2 Complete healing HBOT vs heparin.
Figuras y tablas -
Analysis 3.2

Comparison 3 HBOT compared with dexamethasone or heparin, Outcome 2 Complete healing HBOT vs heparin.

Comparison 1. HBOT compared with usual care

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Complete survival (defined as at least 95% take) at day 7 Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 1. HBOT compared with usual care
Comparison 2. HBOT compared with sham HBOT

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Complete healing Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Time to healing (days) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Totals not selected

3 Adverse effects (additional surgical procedures) Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Adverse effects (tissue necrosis) Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5 Amputations Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

6 Length of hospital stay Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 2. HBOT compared with sham HBOT
Comparison 3. HBOT compared with dexamethasone or heparin

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Complete healing HBOT vs dexamethasone Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Complete healing HBOT vs heparin Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 3. HBOT compared with dexamethasone or heparin