Identifier: TFG:2302
Authors: Oliver Peralta, Miriam
Abstract:
Diabetes is a major problem for the world population that has been increasing during the last decades. Between 15 and 25% of people with diabetes mellitus will suffer, as a complication, diabetic foot ulcers. The majority of DM amputations are due to the lack of prevention plans, early intervention and multidisciplinary teams that correctly address diabetic foot ulcers. Negative pressure therapy is an advanced technique used with very good applied to diabetic foot ulcers. A systematic review of the literature has been carried out in order to determine the effectiveness of negative pressure therapy applied in diabetic foot ulcers. Searching in the databases Cinahl, Scopus, Cuiden, Pubmed and Medline. In addition, national clinical practice guidelines have also been consulted. In the literature search, articles such as randomized clinical trials, meta-analyzes, among others, published in the last 5 years have been included. The studies reviewed provide evidence that the percentage of healed ulcers increases, reduces the time needed for healing and it has been shown that an early approach favors faster healing. It reduces more satisfactorily the area of the wound, promotes a granulation tissue with more vigor. It favors a positive environment for the wound that allows cell proliferation and angiogenesis. It reduces pain and increases the quality of life of the patient. In addition, it has no more adverse effects than other therapies and the total cost is cheaper compared to conventional therapy. Negative pressure therapy is a safe, effective and cost-effective therapy applied to diabetic foot ulcers. The analyzed data provide a low level of evidence that needs to improve the control and monitoring of patients, as well as the recording of data related to experience, pain and quality of life.
Repositori URV