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Distal blood pressure as a predictor for the level of amputation in diabetic patients with foot ulcer

Larsson, J; Apelqvist, Jan LU ; Castenfors, J; Agardh, Carl-David LU and Stenström, Anders LU (1993) In Foot & ankle 14(5). p.247-253
Abstract
The predictive value of distal blood pressure measurements for the level of amputation was studied prospectively in 161 consecutive diabetic patients with foot ulcers. The patients were treated as outpatients except for periods of surgery and when complications requiring hospital care occurred. All patients were treated pre- and postoperatively by the same multidisciplinary foot care team. Either ankle or toe blood pressure measurement was available in 86% of the patients. Incompressible arteries, ulcer or gangrene at the measuring site, previous amputation, poor general condition, and an emergency situation were factors that excluded standardized ankle and toe blood pressure measurements in 24% and 27% of the patients, respectively. An... (More)
The predictive value of distal blood pressure measurements for the level of amputation was studied prospectively in 161 consecutive diabetic patients with foot ulcers. The patients were treated as outpatients except for periods of surgery and when complications requiring hospital care occurred. All patients were treated pre- and postoperatively by the same multidisciplinary foot care team. Either ankle or toe blood pressure measurement was available in 86% of the patients. Incompressible arteries, ulcer or gangrene at the measuring site, previous amputation, poor general condition, and an emergency situation were factors that excluded standardized ankle and toe blood pressure measurements in 24% and 27% of the patients, respectively. An absolute lower ankle pressure level of 50 mm Hg was found, below which a minor amputation was never sufficient to achieve healing. An ankle pressure below 75 mm Hg was seldom sufficient, and at or above that pressure level, the ankle pressure had no predictive value in this respect. At a toe pressure below 15 mm Hg, a minor amputation was seldom sufficient. Ankle and toe pressure indices gave no further information. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Foot & ankle
volume
14
issue
5
pages
247 - 253
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:8349208
  • scopus:0027180848
ISSN
0198-0211
language
English
LU publication?
yes
id
21998c54-bf48-49f9-b3bc-8c05c85c5a73 (old id 1107203)
date added to LUP
2008-07-30 13:41:52
date last changed
2017-01-01 07:24:03
@article{21998c54-bf48-49f9-b3bc-8c05c85c5a73,
  abstract     = {The predictive value of distal blood pressure measurements for the level of amputation was studied prospectively in 161 consecutive diabetic patients with foot ulcers. The patients were treated as outpatients except for periods of surgery and when complications requiring hospital care occurred. All patients were treated pre- and postoperatively by the same multidisciplinary foot care team. Either ankle or toe blood pressure measurement was available in 86% of the patients. Incompressible arteries, ulcer or gangrene at the measuring site, previous amputation, poor general condition, and an emergency situation were factors that excluded standardized ankle and toe blood pressure measurements in 24% and 27% of the patients, respectively. An absolute lower ankle pressure level of 50 mm Hg was found, below which a minor amputation was never sufficient to achieve healing. An ankle pressure below 75 mm Hg was seldom sufficient, and at or above that pressure level, the ankle pressure had no predictive value in this respect. At a toe pressure below 15 mm Hg, a minor amputation was seldom sufficient. Ankle and toe pressure indices gave no further information.},
  author       = {Larsson, J and Apelqvist, Jan and Castenfors, J and Agardh, Carl-David and Stenström, Anders},
  issn         = {0198-0211},
  language     = {eng},
  number       = {5},
  pages        = {247--253},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Foot & ankle},
  title        = {Distal blood pressure as a predictor for the level of amputation in diabetic patients with foot ulcer},
  volume       = {14},
  year         = {1993},
}