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Use of Hyperbaric Oxygen Therapy for the Treatment of Crush Injuries

Use of Hyperbaric Oxygen Therapy for the Treatment of Crush Injuries

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04049721
Enrollment
0
Registered
2019-08-08
Start date
2021-09-01
Completion date
2023-09-30
Last updated
2022-06-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Crush Injury

Brief summary

The purpose of this study is to determine whether using hyperbaric oxygen (HBO) improves wound healing for patients who have a crush injury. The comparison of the prospective intervention group to the retrospective matched cohort aims to show that HBO can improve wound healing and decrease poor outcomes for patients with crush injuries. The information gained from this small study will serve as a basis for a follow-up prospective, randomized control trial to further delineate the role of HBO in a larger patient population.

Interventions

PROCEDUREHBO

2.5 atmospheres absolute (ATA) with 90 minutes of hyperbaric oxygen will be given over the course of two weeks.

OTHERStandard of Care

20 patients will be included in the retrospective review arm. The retrospective chart review will be performed to determine the outcomes of patients with crush injuries treated at NYU Winthrop Hospital without HBO from 1/1/2012-12/31/2018.

Sponsors

Winthrop University Hospital
CollaboratorOTHER
NYU Langone Health
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Presenting to NYU Winthrop Hospital with a crush injury of the extremity, including appendages, up to 14 days post injury. * No contraindication to hyperbaric oxygen therapy. * Able and willing to sign informed consent.

Exclusion criteria

* Critically-ill patient requiring intubation or pressor support. * Crush injury isolated to the distal phalanx (Tuft fracture). * Absolute contraindication to hyperbaric oxygen therapy (untreated pneumothorax). Relative contraindications (uncontrolled congestive heart failure, uncontrolled seizure disorder, pulmonary disease, claustrophobia) will be assessed by the treating physician. * Unable or unwilling to sign informed consent.

Design outcomes

Primary

MeasureTime frame
healing measured by percentage of skin necrosis using a Bilateral Perfusion Index (BPI; TCOM of the affected limb/TCOM of the nonaffected limb).week 2

Secondary

MeasureTime frameDescription
hospital length of stay52 WeeksNumber of days admitted over 52 weeks

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026