Ms. Marianne Degerman Profile

Marianne Degerman

at Skellefteå Municipality

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Proceedings Article | 15 March 2023 Presentation + Paper

Photobiomodulation on hard-to-heal ulcers: influence of diabetes mellitus on treatment time to healing in frail elderly patients

M. Degerman, M. Öhman

Proceedings Volume 12362, 1236202 (2023) https://doi.org/10.1117/12.2646997

KEYWORDS: Wound healing, Medicine, Infrared radiation, Tissues, Pulsed laser operation, Lymphatic system, Laser frequency, Education and training, Skin, Red lasers

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It is known from the literature that foot ulcers are a frequent complication of diabetes mellitus with a yearly incidence of 2-4% in high income countries. Hard to heal ulcers are a major cause of morbidity, mortality and financial costs. Data from the Swedish quality registry RiksSar for ulcer treatment 2020, show that patients with diabetes mellitus heals more slowly than other ulcer patients. This study compared Photobiomodulation PBM time to heal in frail elderly patients with and without diabetes mellitus. Patients ulcer diagnosis were arterial ulcer, pressure ulcer category two to four and venous leg ulcer. The patients with diabetes mellitus had a median of one comorbidity more than the patients without diabetes diagnosis. The patients in this study received infrared and red laser PBM two times per week from the municipality home healthcare in their private residence or nursing home. In the study no significant difference in PBM treatment time to heal was found between patients with and without diabetes mellitus per ulcer diagnosis. Conclusion, the study shows that hard to heal ulcers in frail elderly patients with diabetes mellitus respond at least as good and as fast to laser PBM as frail elderly patients with hard to heal ulcers, without diabetes mellitus.

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