医学
糖尿病足
危险系数
随机对照试验
外科
内科学
比例危险模型
糖尿病
置信区间
内分泌学
作者
Thomas E Serena,Raphael Yaakov,Sarah Moore,Windy Cole,Stacey Coe,Rob Snyder,Keyur Patel,Bryan Doner,Maria Kasper,Rachel Hamil,Santina Wendling,Michael L. Sabolinski
标识
DOI:10.2217/cer-2019-0142
摘要
Aim: Determine the effectiveness of hypothermically stored amniotic membrane (HSAM) versus standard of care (SOC) in diabetic foot ulcers (DFUs). Methods: A randomized controlled trial was conducted on 76 DFUs analyzed digitally. Results: Cox wound closure for HSAM (38 wounds) was significantly greater (p = 0.04) at weeks 12 (60 vs 38%), and 16 (63 vs 38%). The probability of wound closure increased by 75% (Hazard Ratio = 1.75; 95% CI: 1.16–2.70). HSAM showed >60% reductions in area (82 vs 58%; p = 0.02) and depth (65 vs 39%; p = 0.04) versus SOC. Conclusion: HSAM increased frequency and probability of wound closure in DFUs versus SOC.
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