Analyzing treatment aggressiveness and identifying high-risk patients in diabetic foot ulcer return to care

2016 ◽  
Vol 24 (4) ◽  
pp. 731-736 ◽  
Author(s):  
Austin C. Remington ◽  
Tina Hernandez-Boussard ◽  
Nicholus M. Warstadt ◽  
Micaela A. Finnegan ◽  
Robyn Shaffer ◽  
...  
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients: Use of temperature monitoring as a self-assessment tool

Diabetes Care ◽  
2006 ◽  
Vol 30 (1) ◽  
pp. 14-20 ◽  
Author(s):  
L. A. Lavery ◽  
K. R. Higgins ◽  
D. R. Lanctot ◽  
G. P. Constantinides ◽  
R. G. Zamorano ◽  
...  
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Assessment Tool ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Temperature Monitoring ◽  
Ulcer Recurrence ◽  
Self Assessment ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Diabetic foot and its serial treatment in high-risk patients: focusing on the individual

2020 ◽  
Vol 66 (11) ◽  
pp. 1542-1547
Author(s):  
Eli Ávila Souza Júnior ◽  
Raul Silva Simões de Camargo ◽  
Tiago Soares Baumfeld ◽  
Daniel Soares Baumfeld ◽  
Benjamin Dutra Macedo
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
High Risk Group ◽  
Foot Care ◽  
Cross Sectional ◽  
High Risk Patients ◽  
Risk Patients ◽  
The Individual

SUMMARY Objectives: To assess knowledge about diabetic foot, care measures, and the importance attached to serial treatment in a group of high-risk diabetic foot patients. METHODS: This is a cross-sectional study, carried out in a tertiary hospital, with 25 patients undergoing serial treatment for diabetic foot. The tabulation of the data occurred through the use of three methodological figures: core idea, key expressions, and the collective subject discourse. RESULTS: It became evident that even among high-risk patients with diabetic foot, there is no complete knowledge about the definition of the disease. Despite this, all participants reported practicing daily care measures, including frequent inspection of the feet, food care, and attention to footwear. Regarding the importance of serial treatment, there was unanimous recognition of the relevance of this practice, which improves self-care discipline, optimizes the understanding of the disease, and helps to prevent progression. CONCLUSIONS: Authentic speeches in the context of a pathology of considerable prevalence manifested, in an unprecedented way, with conceptions about its definition, care measures, and importance of serial treatment in a high-risk group.

Skin Temperature Monitoring Reduces the Risk for Diabetic Foot Ulceration in High-risk Patients

2007 ◽  
Vol 120 (12) ◽  
pp. 1042-1046 ◽  
Author(s):  
David G. Armstrong ◽  
Katherine Holtz-Neiderer ◽  
Christopher Wendel ◽  
M. Jane Mohler ◽  
Heather R. Kimbriel ◽  
...  
Keyword(s):  
High Risk ◽  
Skin Temperature ◽  
Diabetic Foot ◽  
Temperature Monitoring ◽  
Foot Ulceration ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Diabetic Foot Prevention: A neglected opportunity in high-risk patients

Diabetes Care ◽  
2010 ◽  
Vol 33 (7) ◽  
pp. 1460-1462 ◽  
Author(s):  
L. A. Lavery ◽  
N. A. Hunt ◽  
J. LaFontaine ◽  
C. L. Baxter ◽  
A. Ndip ◽  
...  
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Relation between knowledge, foot self-care and health status for diabetic foot high-risk patients

2021 ◽  
Vol 8 (3) ◽  
pp. 203-211
Author(s):  
Noura Mahfouz ◽  
Taghreed Shakweer ◽  
Marwa Abd-Elaziz
Keyword(s):  
Health Status ◽  
High Risk ◽  
Diabetic Foot ◽  
Self Care ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Three Years Survival and Factor Predicting Amputation or Mortality in Patients with High Risk for Diabetic Foot Ulcer in Fatmawati General Hospital, Jakarta

2022 ◽  
Vol 13 ◽  
pp. 215013192110637
Author(s):  
Em Yunir ◽  
Canggih Dian Hidayah ◽  
Kuntjoro Harimurti ◽  
Ida Ayu Made Kshanti
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
General Hospital ◽  
Survival Probability ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Major Complication ◽  
Extremity Amputation

Background: Diabetic foot is one of major complication in diabetes patients with unfavorable outcome. Survival study in outpatients is limited and factors related are inconsistent. Survival and its modifiable risk factors should be identified early since the foot at risk status to reduce amputation/mortality in type 2 diabetes mellitus (T2DM). Objective: The aims of this study were to investigate survival probability for amputation or mortality, compare different ulcer risk classification, and figure out the relation of status of ulcer risk, age, gender, diabetes duration, body mass index, fasting plasma glucose, HbA1C, and LDL with amputation or mortality. Methods: This is a retrospective cohort study of 487 T2DM subjects who visited internal medicine outpatient clinic in Fatmawati General Hospital since January-December 2016. Status of ulcer risk and risk factors were extracted from medical record and lower-extremity amputation or mortality was observed in 3 years from baseline. Result: Three years overall survival is 85.7% (SE 0.17). Patients with high risk for foot ulcer have survival probability of 80.2% (SE 0.027), which is lower compared to non-high risk for foot ulcer with survival probability of 91.8% (SE 0.019). Patients with high risk for foot ulcer (aHR 2.386 [95% CI 1.356-4.20]; P = .003), aged ≥60 years old (aHR 2.051 [95% CI 1.173-3.585]; P = .012), and HbA1C ≥7% (aHR 2.022 [95% CI 1.067-3.830]; P = .031) were independently associated with amputation or mortality. Conclusion: T2DM patients with high risk for foot ulcer have lower survival probability and higher risk for amputation or mortality in 3 years compared to patients with non-high risk for foot ulcer. Status of ulcer risk, age ≥60 years, and HbA1C ≥7% were associated with amputation or mortality in 3 years observation.

scholarly journals Risk Factors for Diabetic Foot Ulcers in Metreleptin Naïve Patients With Lipodystrophy

2021 ◽  
Author(s):  
Onur Saydam ◽  
Basak Ozgen Saydam ◽  
Suleyman Cem Adiyaman ◽  
Melda Sonmez Ince ◽  
Mehmet Ali Eren ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Foot Ulcers ◽  
Partial Lipodystrophy ◽  
Factors Associated ◽  
Patients With Diabetes ◽  
Artery Disease

Abstract AimPatients with lipodystrophy are at high risk for chronic complications of diabetes. Recently, we have reported 18 diabetic foot ulcer episodes in 9 subjects with lipodystrophy. This current study aims to determine risk factors associated with foot ulcer development in this rare disease population.MethodsNinety metreleptin naïve patients with diabetes registered in our national lipodystrophy database were included in this observational retrospective cohort study (9 with and 81 without foot ulcers).Results Patients with lipodystrophy developing foot ulcers had longer diabetes duration (p = 0.007), longer time since lipodystrophy diagnosis (p = 0.008), and higher HbA1c levels (p = 0.041). Insulin use was more prevalent (p = 0.003). The time from diagnosis of diabetes to first foot ulcer was shorter for patients with generalized lipodystrophy compared to partial lipodystrophy (p = 0.036). Retinopathy (p < 0.001), neuropathy (p < 0.001), peripheral artery disease (p = 0.001), and kidney failure (p = 0.003) were more commonly detected in patients with foot ulcers. Patients with foot ulcers tended to have lower leptin levels (p = 0.052). Multiple logistic regression estimated significant associations between foot ulcers and generalized lipodystrophy (OR: 40.81, 95%CI: 3.31 - 503.93, p = 0.004), long-term diabetes (≥ 15 years; OR: 27.07, 95%CI: 2.97 - 246.39, p = 0.003), and decreased eGFR (OR: 13.35, 95%CI: 1.96 - 90.67, p = 0.008).ConclusionOur study identified several clinical factors associated with foot ulceration among patients with lipodystrophy and diabetes. Preventive measures and effective treatment of metabolic consequences of lipodystrophy are essential to prevent the occurrence of foot ulcers in these high-risk individuals.

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