Risk Scale for Patients with Newly Diagnosed Diabetic Foot Ulcer - Which Patients May Experience Healing Failure or Need Revascularization

• Published in: The American heart journal 2024-01, Vol.267, p.138-139
• Main Authors: Kleibert, Marcin, Łakomska, Klaudia, Płachta, Iga, Tkacz, Kamil, Mrozikiewicz-Rakowska, Beata, Cudnoch-Jędrzejewska, Agnieszka
• Format: Article
• Language: English
• Subjects: Anemia; Cigarette smoking; Complications; Diabetes; Diabetes mellitus; Foot diseases; Plantar ulcers; Risk factors; Ulcers; Wound healing
• ISSN: 0002-8703; 1097-6744
• DOI: 10.1016/j.ahj.2023.08.053

BackgroundThe healing process of diabetic foot ulcers (DFU) is associated with the risk of life-threatening complications. The aim of the study was to establish the most important risk factors which have an impact on the healing process.MethodsThe retrospective analysis was conducted on patients with diagnosed T2DM and newly diagnosed DFU. The observation lasted 12 months and the primary outcome was complete healing of the wounds, the secondary outcome was defined as a need for vascular intervention of the lower extremity (VI) or the occurrence of a new wound (NW). The data examined with a chi2 test analysis of the odds ratio in the SAS 9.4 program.Results64 patients cases (13 women and 51 men) with mean weight (101.48kgs (±22.4)), age (60.59 years old (±9.14)) were analyzed. The mean baseline area of the patient's wounds was 7.75cm2 (±16.46). The primary outcome was achieved by 42.19% (n=27). The NW occurred among 39.06% (n=25), and 21.88% (n=14) needed VI. The patients with the area of all wounds bigger than 5cm2 have a higher risk of having unhealed wounds (OR=7.58, p