About this trial
The goal of this study is to learn if the clinical effects of Negative Pressure Wound Therapy (NPWT) is better, worse or the same as standard wound care for patients with diabetic foot ulcers (DFUs).
The main questions it aims to answer are:
* Will there be a difference in the number of major amputations between the groups during the first year? * Will one of the treatments require more surgeries and longer hospital stays?
All participants will:
* be treated with NPWT or standard wound care for their diabetic foot ulcer after surgery * be followed closely at the out-patient clinic for one year after treatment
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and non-pregnant female above 18 years with a diabetic foot ulcer in need of surgical debridement or forefoot amputation
Disqualifiers
Previous leg amputation due to diabetes
Unable to ambulate on feet
Unlikely to adhere to treatment and/or follow-up
Unable to complete questionnaire
Trial design
Parallel
Treatments tested in this trial
Negative Pressure Wound Treatment
Procedure/SurgeryNegative Pressure Wound Treatment promotes healing by applying subatmospheric pressure to reduce inflammatory exudate and stimulate granulation tissue.
Treatment groups
Trial outcomes
Primary outcomes
Number of lower extremity amputations
The study will compare rates of lower extremity amputations within one year after two different treatments for diabetes related foot ulcers.
Secondary outcomes
Mortality
Mortality rate during the study period.
Wound healing
Wound healing during the study period.
Complications
Rate of the following complications; * Death within 30 days postoperatively likely related to the DFU * Major bleeding necessitating acute resuscitation, massive blood transfusion, or any additional vascular procedure to stop the bleeding. * Any reoperation within 90 days of the index trial surgery, due to deep wound infection, osteomyelitis or sepsis * Pulmonary embolism (PE) * Acute myocardial infarction (AMI) * Postoperative organ failure or worsening of pre-existing organ failure necessitating organ support or ICU stay
Number of surgeries
Number of surgeries during the study period.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University Hospital, Akershus
Lead sponsor
South-Eastern Norway Regional Health Authority
Collaborator
University of Oslo
Collaborator
Ostfold Hospital Trust
Collaborator