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62 Hyperbaric Oxygenation Therapy KCE Reports 74 56 578 459 1524 20 Figure 29). Treatment of diabetic ischemic injuries happens, not surprisingly, more often in multiplace hyperbaric facilities with a diabetic foot clinic (Figure 28 versus Figure 29). Figure 27. Monoplace facilities: 280 patient sessions in 2006 14 6 5 4 175 Radio induced lesions CO intoxication Osteomyelitis Anaerobic or mixed anaero-aerobic bacterial infections Sudden Deafness Delayed wound healing Gas embolism Figure 28. Multiplace facilities with diabetic foot clinic: 10 751 patient sessions in 2006 434 361 354 116 1 325 3080 3519 Hearing disorders Radio induced lesions Diabetic Ischemic Injuries Osteomyelitis Delayed wound healing CO intoxication Acute soft tissue ischemia Anaerobic or mixed anaero-aerobic bacterial infections Decompression illness Gas embolism Other
KCE Reports 74 Hyperbaric Oxygenation Therapy 63 275 316 265 362 Figure 29. Multiplace facilities without diabetic foot clinic: 5 371 patient sessions in 2006 256 228 112 30 1 165 1630 Capacity utilization of chambers 1731 Sudden Deafness Radio induced lesions Delayed wound healing CO intoxication Anaerobic or mixed anaero-aerobic bacterial infections Acute soft tissue ischemia Osteomyelitis Diabetic Ischemic Injuries Decompression illness Burns Gas embolism Other The capacity utilization of the chambers depends on the number of treatment sessions per day and the average occupancy rate of the chamber during the sessions. Number of treatment sessions per day A treatment session takes about 150 minutes, i.e. a dive of 90 minutes and approximately half an hour work before and after the treatment. As a result, a hyperbaric chamber could effectively be used for up to four treatment sessions per day. However, at the Belgian centres, the chambers are used either ad hoc for emergency cases (mainly for the monoplace chambers), or at a fixed scheme of one or two sessions per day (for multiplace chambers). Number of patient treatment sessions per year Based on the data we received, the monoplace chambers are used from about 15 to 270 sessions per year. The multiplace chambers are used from 870 “treatment sessions” per year (meaning 870 times that a patient receives a 90 min session) up to 2 700 at two hospitals and about 3 200 at the Military Hospital. Occupancy rate of the chambers during a session Based on the two above mentioned inputs and combined with the size of the chamber, the average occupancy rate of the chambers was calculated. Not taking into account whether a patient is sitting or lying, the estimated occupancy rate for the multiplace chambers varies from 30% to over 90%. 5.7.2 Results from financial and clinical registration data The primary objective of this combined Minimal Clinical Data (MCD) and Minimal Financial Data (MFD) analysis is to complement the data provided through questionnaire by the HBOT centres concerning utilisation of HBOT. It is important to note that ambulatory patients are not included in this analysis.
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KCE reports 33 Effects and costs of
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