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Wound classification is more important than site of ulceration in the outcome of diabetic foot ulcers

Apelqvist, Jan LU ; Castenfors, J; Larsson, J; Stenstrom, A and Agardh, Carl-David LU (1989) In Diabetic Medicine 6(6). p.526-530
Abstract
The importance of wound classification and site of ulceration was evaluated in 314 consecutive diabetic patients with foot ulcers. The ulcers were classified as superficial (through the full thickness of the dermis; n = 150), deep (n = 50), osteomyelitis and/or abscess (n = 46), minor gangrene (n = 39) or major gangrene (n = 29). Wound healing was defined as intact skin for at least 6 months. In patients with superficial and deep ulcers, primary healing occurred in 88% and 78%, respectively, compared with 57% in those patient who developed an abscess and/or osteomyelitis. Only 2 out of 68 patients with gangrene healed (through mummification) without amputation. Patients with gangrene had lower ankle and toe blood pressure than patients... (More)
The importance of wound classification and site of ulceration was evaluated in 314 consecutive diabetic patients with foot ulcers. The ulcers were classified as superficial (through the full thickness of the dermis; n = 150), deep (n = 50), osteomyelitis and/or abscess (n = 46), minor gangrene (n = 39) or major gangrene (n = 29). Wound healing was defined as intact skin for at least 6 months. In patients with superficial and deep ulcers, primary healing occurred in 88% and 78%, respectively, compared with 57% in those patient who developed an abscess and/or osteomyelitis. Only 2 out of 68 patients with gangrene healed (through mummification) without amputation. Patients with gangrene had lower ankle and toe blood pressure than patients with all other types of ulcers. There were only marginal differences in primary healing rate between different ulcer sites. The highest rate was seen in ulcers localized to the metatarsal heads (78%). Patients with multiple ulcers had the lowest primary healing rate (5%) compared with single ulcers at all sites. These differences were probably due to circulatory factors, since patients with multiple ulcers had lower distal perfusion pressures compared with all other groups. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Diabetic Medicine
volume
6
issue
6
pages
526 - 530
publisher
Wiley-Blackwell
external identifiers
  • pmid:2527135
  • scopus:0024312439
ISSN
1464-5491
language
English
LU publication?
yes
id
8a69f5dd-405b-4a68-ab38-6617d31409cd (old id 1104560)
date added to LUP
2008-08-06 10:56:09
date last changed
2017-07-30 04:34:48
@article{8a69f5dd-405b-4a68-ab38-6617d31409cd,
  abstract     = {The importance of wound classification and site of ulceration was evaluated in 314 consecutive diabetic patients with foot ulcers. The ulcers were classified as superficial (through the full thickness of the dermis; n = 150), deep (n = 50), osteomyelitis and/or abscess (n = 46), minor gangrene (n = 39) or major gangrene (n = 29). Wound healing was defined as intact skin for at least 6 months. In patients with superficial and deep ulcers, primary healing occurred in 88% and 78%, respectively, compared with 57% in those patient who developed an abscess and/or osteomyelitis. Only 2 out of 68 patients with gangrene healed (through mummification) without amputation. Patients with gangrene had lower ankle and toe blood pressure than patients with all other types of ulcers. There were only marginal differences in primary healing rate between different ulcer sites. The highest rate was seen in ulcers localized to the metatarsal heads (78%). Patients with multiple ulcers had the lowest primary healing rate (5%) compared with single ulcers at all sites. These differences were probably due to circulatory factors, since patients with multiple ulcers had lower distal perfusion pressures compared with all other groups.},
  author       = {Apelqvist, Jan and Castenfors, J and Larsson, J and Stenstrom, A and Agardh, Carl-David},
  issn         = {1464-5491},
  language     = {eng},
  number       = {6},
  pages        = {526--530},
  publisher    = {Wiley-Blackwell},
  series       = {Diabetic Medicine},
  title        = {Wound classification is more important than site of ulceration in the outcome of diabetic foot ulcers},
  volume       = {6},
  year         = {1989},
}