Advanced

Prognostic value of systolic ankle and toe blood pressure levels in outcome of diabetic foot ulcer

Apelqvist, Jan LU ; Castenfors, J; Larsson, J; Stenstrom, A and Agardh, Carl-David LU (1989) In Diabetes Care 12(6). p.373-378
Abstract
The prognostic value of distal blood pressure measurements has been studied in 314 consecutive diabetic patients with foot ulcers. Systolic toe blood pressure was measured with a strain-gauge technique, and ankle pressure was measured with strain-gauge or Doppler techniques. Wound healing was defined as intact skin for at least 6 mo. One hundred ninety-seven patients healed primarily, 77 had amputations, and 40 died before healing had occurred. In 294 of 300 patients, it was possible to measure either ankle or toe pressure. Fourteen patients were not available for pressure measurements. Of these, 10 patients healed primarily, and 4 died before healing occurred. Both ankle and toe pressures were higher (P less than .001) among patients who... (More)
The prognostic value of distal blood pressure measurements has been studied in 314 consecutive diabetic patients with foot ulcers. Systolic toe blood pressure was measured with a strain-gauge technique, and ankle pressure was measured with strain-gauge or Doppler techniques. Wound healing was defined as intact skin for at least 6 mo. One hundred ninety-seven patients healed primarily, 77 had amputations, and 40 died before healing had occurred. In 294 of 300 patients, it was possible to measure either ankle or toe pressure. Fourteen patients were not available for pressure measurements. Of these, 10 patients healed primarily, and 4 died before healing occurred. Both ankle and toe pressures were higher (P less than .001) among patients who healed without amputation compared with those who underwent amputation or died before healing. No differences were seen in ankle or toe pressure levels among those who had amputations or died. No patient healed primarily with an ankle pressure less than 40 mmHg. An upper limit above which amputation was not required could not be defined. Primary healing was achieved in 139 of 164 patients (85%) with a toe pressure level greater than 45 mmHg, whereas 43 of 117 patients (36%; P less than .001) healed without amputation when toe pressure was less than or equal to 45 mmHg. In conclusion, a combination of ankle and toe pressure measurements is a useful tool to predict primary healing in diabetic foot ulcers. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Diabetes Care
volume
12
issue
6
pages
373 - 378
publisher
American Diabetes Association
external identifiers
  • pmid:2731457
  • scopus:0024309203
ISSN
1935-5548
DOI
10.2337/diacare.12.6.373
language
English
LU publication?
yes
id
d471be81-65c1-4c80-b472-48301f739d6a (old id 1104568)
date added to LUP
2008-08-06 11:00:46
date last changed
2017-11-05 04:26:34
@article{d471be81-65c1-4c80-b472-48301f739d6a,
  abstract     = {The prognostic value of distal blood pressure measurements has been studied in 314 consecutive diabetic patients with foot ulcers. Systolic toe blood pressure was measured with a strain-gauge technique, and ankle pressure was measured with strain-gauge or Doppler techniques. Wound healing was defined as intact skin for at least 6 mo. One hundred ninety-seven patients healed primarily, 77 had amputations, and 40 died before healing had occurred. In 294 of 300 patients, it was possible to measure either ankle or toe pressure. Fourteen patients were not available for pressure measurements. Of these, 10 patients healed primarily, and 4 died before healing occurred. Both ankle and toe pressures were higher (P less than .001) among patients who healed without amputation compared with those who underwent amputation or died before healing. No differences were seen in ankle or toe pressure levels among those who had amputations or died. No patient healed primarily with an ankle pressure less than 40 mmHg. An upper limit above which amputation was not required could not be defined. Primary healing was achieved in 139 of 164 patients (85%) with a toe pressure level greater than 45 mmHg, whereas 43 of 117 patients (36%; P less than .001) healed without amputation when toe pressure was less than or equal to 45 mmHg. In conclusion, a combination of ankle and toe pressure measurements is a useful tool to predict primary healing in diabetic foot ulcers.},
  author       = {Apelqvist, Jan and Castenfors, J and Larsson, J and Stenstrom, A and Agardh, Carl-David},
  issn         = {1935-5548},
  language     = {eng},
  number       = {6},
  pages        = {373--378},
  publisher    = {American Diabetes Association},
  series       = {Diabetes Care},
  title        = {Prognostic value of systolic ankle and toe blood pressure levels in outcome of diabetic foot ulcer},
  url          = {http://dx.doi.org/10.2337/diacare.12.6.373},
  volume       = {12},
  year         = {1989},
}