José A. Morales-Ramírez, Consulta Externa de Pie Diabético, Hospital General de Zona No. 67, Instituto Mexicano del Seguro Social (IMSS), Apodaca, Nuevo León, México
Ramón Valladares-Trujillo, Coordinación Clínica de Educación e Investigación en Salud, Hospital General de Zona No. 17, IMSS, Monterrey, Nuevo León, México
Fausto Cadena-Gil, Coordinación Clínica de Educación e Investigación en Salud, Hospital General de Zona No. 67, IMSS, Apodaca. Nuevo León, México
Enoc I. Hernández-Cantú, Coordinación Clínica de Educación e Investigación en Salud, Hospital General de Zona No. 67, IMSS, Apodaca. Nuevo León, México
Introduction: The TIME scheme (tissue, infection/inflammation, moisture, and wound edge) has proven to be an effective intervention in the healing of chronic wounds, especially in patients with diabetic foot ulcers. Objective: To evaluate the effectiveness of the TIME scheme in the healing of diabetic foot ulcers. Method: Experimental study. The population included 185 patients with diabetic foot wounds, randomly assigned to the treatment or control group. Demographic and clinical data were collected, and outcome, process, and safety variables were measured. It was compared with Mann-Whitney U and chi-square. Results: The comparative analysis showed that the group treated with the TIME scheme had a shorter healing time (28 vs. 35 days), a higher healing rate (62 vs. 48%) and less frequency of cases of complications (7 vs. 20) compared to the control group. Conclusions: The application of the TIME scheme proved to be effective in the healing of diabetic foot wounds, with a significantly shorter healing time and a larger healing surface compared to conventional treatment.
Keywords: Diabetic foot. Diabetes mellitus. Diabetic neuropathies. Peripheral vascular diseases. Infection.