Análisis del valor pronóstico sobre el proceso de cicatrización de tres sistemas de clasificación en pacientes con úlceras del pie diabéticoun estudio retrospectivo.

  1. Villalta Alarcón C 1
  2. García Álvarez Y 1
  3. García Morales E 1
  4. Molines Barroso R 1
  5. López Moral M 1
  6. Lázaro Martínez JL 1
  1. 1 Universidad Complutense de Madrid
    info
    Universidad Complutense de Madrid

    Madrid, España

    ROR https://ror.org/02p0gd045

    Geographic location of the organization Universidad Complutense de Madrid
Journal:
Podoscopio: [Revista del Colegio de Podólogos de la Comunidad de Madrid]

ISSN: 0212-7393

Year of publication: 2024

Issue: 92

Pages: 2457-2473

Type: Article

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More publications in: Podoscopio: [Revista del Colegio de Podólogos de la Comunidad de Madrid]

Sustainable development goals

Abstract

The present study aims to determine which of the three classifications (Texas, SINBAD o Saint Elian) is associated with a better prognosis that determines the healing of diabetic foot ulcers after 6 months of evolution. As a secondary objective, we want to quantify the prognostic value of the Texas classification in patients with diabetic foot ulcer. A retrospective, observational, descriptive and analytical study was conducted in the Diabetic Foot Unit of the Complutense University of Madrid based on data from medical records collected between 2019-2023. In total, 180 medical records of healed patients were reviewed. The associations between different variables with the T test for independent samples were analyzed. The association between weeks of healing and the classifications of Texas, SINBAD and Saint Elian were calculated individually using an ANOVA. For the demographic analysis of our sample of 30 subjects, a descriptive analysis was performed using the mean and standard deviation. In the present analysis, it is observed that men represented 86.7% (n=26) compared to 13.3% (n=4) represented by women. The main age of the subjects included was 61.13 years, with 28 of the 30 subjects suffering from type 2 diabetes mellitus, with a mean evolution of DM of 20.41 years. The statistical results show us some inconclusive results in relation to which classification is more appropriate for the assessment of the prognostic value of healing in patients with diabetic foot ulcer.

Bibliographic References

  • Armstrong DG. The University of Texas Diabetic Foot Classification System. Ostomy Wound Manage. 1996; 42(8): 60-61.
  • Bádenas JM. Diabetes tipo 1 y tipo 2, definición y diferencias [Internet]. Madrid; 2017. [Actualizado 29- 05-2017; citado 12-12-2021]. Disponible en: https:// diabetesmadrid.org/diabetes-tipo-1-tipo-2-definicion-diferencias/
  • Forsythe RO, Ozdemir BA, Chemla ES, Jones KG, Hinchliffe RJ. Interobserver Reliability of Three Validated Scoring Systems in the Assessment of Diabetic Foot Ulcers. The international journal of lower extremity wounds. 2016;15(3):213-9.
  • Gavin III JR, Alberti KGMM, Davidson MB, DeFronzo RA, Drash A, Gabbe SG, et al. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care [Internet]. 2003 [Citado: 12-12-2021]; 26 (1): 5-20. Disponible en: https://diabetesjournals.org/ care/article/26/suppl_1/s5/21693/Report-of-the-Expert-Committee-on-the-Diagnosis?searchresult=1.
  • Gonzalez de la Torre H, Mosquera Fernández A, Quintana Lorenzo MJ, Perdomo Perez E, Quintana Montesdeoca MP. Classifications of injuries on diabetic foot. A non-solved problem. Gerokomos 2012; 23 (2): 75-87.
  • Guarín Corredor C, Quiroga Santamaría P, Landínez Parra NS. Proceso de cicatrización de heridas de piel, campos endógenos y su relación con las heridas crónicas. Rev. Fac. Med. 2013 Vol.61 n.4:441-448.
  • Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924-6.
  • Huang Y, Xie T, Cao Y, Wu M, Yu L, Lu S, et al. Comparison of two classification systems in predicting the outcome of diabetic foot ulcers: the W agner grade and the S aint E lian W ound score systems. Wound Repair and Regeneration. 2015;23(3):379-85.
  • Ince P, Abbas ZG, Lutale JK, Basit A, Ali SM, Chohan F, et al. Use of the SINBAD classification system and score in comparing outcome of foot ulcer management on three continents. Diabetes care. 2008;31(5):964-7.
  • International Diabetes Federation, IDF Diabetes Atlas, 8th edn. Brussels, Belgium: International Diabetes Federation, 2017, www.diabetesatlas.org.
  • Jeon BJ, Choi HJ, Kang JS, Tak MS, Park ES. Comparison of five systems of classification of diabetic foot ulcers and predictive factors for amputation. International wound journal. 2017;14(3):537-45.
  • Lavery LA, Armstrong DG, Harkless LB. Classification of diabetic foot wounds. J Foot Ankle Surg. 1996; 35(6): 528-531.
  • Martínez-De Jesús FR. A checklist system to score healing progress of diabetic foot ulcers. The international journal of lower extremity wounds. 2010;9(2):74-83.
  • Martinez-De Jesus PR, Gonzalez-Medina MF, Martinez-Mendiola PN, Jimenez Godinez R, Gutierrez-Aguilar P. Saint Elian wound scoring system for the follow-up diabetic foot ulcers and its therapeutic relevance. Revista Latinoamericana de Cirugia.2012; 2 (1): 14-20.
  • Monteiro-Soares M, Martins-Mendes D, Vaz-Carneiro A, Dinis-Ribeiro M. Lower-limb amputation following foot ulcers in patients with diabetes: classification systems, external validation and comparative analysis. Diabetes/ metabolism research and reviews. 2015;31(5):515-29.
  • NHS. National Diabetes Foot Care Audit Third Annual Report. In: Partnership HQI, editor. www.hqip.org.uk/wpcontent/uploads/2018/03/National-Diabetes-Foot-Care-Audit-2014-2017.pdf 2018
  • Organización Mundial de la Salud. Diabetes [Internet]; 2021. [Actualizado 13-04-2021; citado 12-12-2021]. Disponible en: https://www.who.int/es/news-room/factsheets/detail/diabetes.
  • Shea JD. Pressure sores: classification and management. Clin Orthop Relat Res. 1975; 112: 89-100.
  • Wagner FW, Jr. The dysvascular foot: a system for diagnosis and treatment. Foot Ankle. 1981; 2(2): 64-122.
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