Stratification of foot ulcer risk in patients with diabetes: a population-based study
- 2 May 2006
- journal article
- research article
- Published by Hindawi Limited in International Journal of Clinical Practice
- Vol. 60 (5), 541-545
- https://doi.org/10.1111/j.1368-5031.2006.00899.x
Abstract
This trial assessed whether a simple clinical tool can be used to stratify patients with diabetes, according to risk of developing foot ulceration. This was a prospective, observational follow‐up study of 3526 patients with diabetes (91% type 2 diabetes) attending for routine diabetes care. Mean age was 64.7 (range 15–101) years and duration of diabetes was 8.8 (±1.5 SD) years. Patients were categorised into ‘low’ (64%), ‘moderate’ (23%) or ‘high’ (13%) risk of developing foot ulcers by trained staff using five clinical criteria during routine patient care. During follow‐up (1.7 years), 166 (4.7%) patients developed an ulcer. Foot ulceration was 83 times more common in high risk and six times more in moderate risk, compared with low‐risk patients. The negative predictive value of a ‘low‐risk score’ was 99.6% (99.5–99.7%; 95% confidence interval). This clinical tool accurately predicted foot ulceration in routine practice and could be used direct scarce podiatry resources towards those at greatest need.Keywords
This publication has 23 references indexed in Scilit:
- Evaluation of the Impact of Chiropodist Care in the Secondary Prevention of Foot Ulcerations in Diabetic SubjectsDiabetes Care, 2003
- Distal Pulse Palpation: Is It Reliable?World Journal of Surgery, 1999
- Diabetes and Lower-Limb Amputations in the Community: A retrospective cohort studyDiabetes Care, 1998
- The diabetes audit and research in Tayside Scotland (darts) study: electronic record linkage to create a diabetes registerBMJ, 1997
- A Foot Risk Classification System to Predict Diabetic Amputation in Pima IndiansDiabetes Care, 1996
- How Does Provider and Patient Awareness of High-Risk Status for Lower-Extremity Amputation Influence Foot-Care Practice?Diabetes Care, 1994
- The Prediction of Diabetic Neuropathic Foot Ulceration Using Vibration Perception Thresholds: A prospective studyDiabetes Care, 1994
- Identifying Diabetic Patients at High Risk for Lower-Extremity Amputation in a Primary Health Care Setting: A prospective evaluation of simple screening criteriaDiabetes Care, 1992
- The risk of foot ulceration in diabetic patients with high foot pressure: a prospective studyDiabetologia, 1992
- The Distribution and Severity of Diabetic Foot Disease: a Community Study with Comparison to a Non‐diabetic GroupDiabetic Medicine, 1992