Reevaluating the Way We Classify the Diabetic Foot : Restructuring the diabetic foot risk classification system of the International Working Group on the Diabetic Foot  

Oleh:

Lavery, Lawrence A. ; Peters, Edgar J.G. ; Williams, Jayme R. ; Murdoch, Douglas P. ; Hudson, Amanda ; Lavery, David C.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Diabetes Care vol. 31 no. 01 (Jan. 2008), page 154.
Topik: PAOD; peripheral arterial occlusive disease ; IWGDF; International Working Group on the Diabetic Foot

Ketersediaan

Perpustakaan FK Nomor Panggil: D05.K.2008.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

OBJECTIVE—To separately evaluate peripheral arterial occlusive disease (PAOD) and foot ulcer and amputation history in a diabetic foot risk classification to predict foot complications. RESEARCH DESIGN AND METHODS—We evaluated 1,666 diabetic patients for 27.2 ± 4.2 months. Patients underwent a detailed foot assessment and were followed at regular intervals. We used a modified version of the International Working Group on the Diabetic Foot's (IWGDF's) risk classification to assess complications during the follow-up period. RESULTS—There were more ulcerations, infections, amputations, and hospitalizations as risk group increased (2 for trend P < 0.001). When risk category 2 (neuropathy and deformity and/or PAOD) was stratified by PAOD, there were more complications in PAOD patients (P < 0.01). When risk group 3 patients (ulceration or amputation history) were separately stratified, there were more complications in subjects with previous amputation (P < 0.01). CONCLUSIONS—We propose a new risk classification that predicts future foot complications better than that currently used by the IWGDF.

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