Practical Criteria for Screening Patients at High Risk for Diabetic Foot Ulceration

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Practical criteria for screening patients at high risk for diabetic foot ulceration.

BACKGROUND A comprehensive understanding of clinical risk factors for developing foot ulcerations would help clinicians to categorize patients by their risk status and schedule intervention resources accordingly to prevent amputation. OBJECTIVE To evaluate risk factors for foot ulcerations among persons with diabetes mellitus. METHOD We enrolled 225 age-matched patients, 46.7% male, with a ...

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Screening techniques to identify people at high risk for diabetic foot ulceration: a prospective multicenter trial.

OBJECTIVE Diabetic foot ulceration is a preventable long-term complication of diabetes. A multicenter prospective follow-up study was conducted to determine which risk factors in foot screening have a high association with the development of foot ulceration. RESEARCH DESIGN AND METHODS A total of 248 patients from 3 large diabetic foot centers were enrolled in a prospective study. Neuropathy ...

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Muscle perfusion scan for prediction of anticipated diabetic foot ulceration

Introduction:We evaluated the performance of muscle perfusion scan (MPS) to assess muscle perfusion reserve (MPR) for prediction of incident diabetic foot ulcerations (DFU). Methods: We recruited 41 diabetic patients without any history of DFU. Five mCi 99mTc-MIBI was injected intravenously during repetitive dorsal and plantar right foot flexions. T...

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Skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients.

PURPOSE To evaluate the effectiveness of home temperature monitoring to reduce the incidence of foot ulcers in high-risk patients with diabetes. METHODS In this physician-blinded, 18-month randomized controlled trial, 225 subjects with diabetes at high risk for ulceration were assigned to standard therapy (Standard Therapy Group) or dermal thermometry (Dermal Thermometry Group) groups. Both g...

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Perceived usability and use of custom-made footwear in diabetic patients at high risk for foot ulceration.

OBJECTIVE To assess the perceived usability and use of custom- made footwear in diabetic patients who are at high-risk for foot ulceration, and to elucidate the determinants of usability and use. DESIGN Survey. SUBJECTS A total of 153 patients with diabetes, peripheral neuropathy, prior plantar foot ulceration and newly prescribed custom-made footwear, recruited from 10 Dutch multidisciplin...

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ژورنال

عنوان ژورنال: Archives of Internal Medicine

سال: 1998

ISSN: 0003-9926

DOI: 10.1001/archinte.158.2.157