Gordoben: Imported from Wikispaces

2018-07-05T02:45:56Z

Imported from Wikispaces

New page

==Hyperbaric oxygen did not importantly improve cognitive function in patients with vascular dementia (Cochrane Review) ==
{|
| '''Clinical bottom line:''' 1. No evidence of improvement in cognitive state with the addition of HBOT to donepezil for the treatment of vascular dementia. 
|-
|}
**Citation/s:'''

 1. Xiao Y, Wang J, Jiang S, Luo H. Hyperbaric oxygen therapy for vascular dementia. Cochrane Dementia and Cognitive Improvement Group, editor. Cochrane Database of Systematic Reviews. 2012 Jul 11;31(7):478–23. 

 '''Lead author's name and fax:''' Xiao, Y et al (Contact: Jin Wang wangjin72@126.com) 
**Three-part Clinical Question:''' For patients with vascular dementia, does the addition of hyperbaric oxygen to treatment with the anti-cholinesterase donepezil, result in improved cognition?
**Search Terms:''' vascular dementia, cognition
**The Review:'''

 '''Data Sources''': Comprehensive search strategy in appropriate databases. 

 '''Study Selection''': RCTs comparing HBOT to no intervention or to sham HBOT or comparing HBOT plus another treatment to the same other treatment in patients with vascular dementia

 '''Data Extraction''': Cochrane methodology

**The Evidence:'''
1070 papers screened 1 study included in the review. 64 patients comparing HBOT as an adjuvant to donepezil to donepezil alone.

{|
| '''Outcome''' || '''Time''' || '''Weighted Mean Difference''' || '''95%CI'''
|-
| '''Mini Mental State Examination''' || 12 wks || 3.50 || 0.91 to 6.09
|-
| '''Hasegawas Dementia Rating Scale''' || 12 wks || 3.50 || 1.16 to 5.04
|-
|}

**Comments:'''

 1) One study only available as RCT and it has significant flaws in design (no sham, no blinding, some important outcomes not done (eg global function, behavioural disturbances and ADLs were not included in the outcome measures).

 2) No safety assessment was done at all in the one study listed.

**Appraised by:''' Dr Glen Hawkins Hyperbaric Health, Suite 3 Ground Floor, 46-50 Kent Road Mascot, NSW 2020, Australia Fax +61282125987 ; 8 January 2018

 Email: glen@hawkeyemedical.com.au 

 Kill or Update By: June 2020

[[File:sumhorsa.gif|center]]



[[Neuro - miscellaneous | BACK]]

Xiao - Revision history

Gordoben: Imported from Wikispaces