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Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers
This study aimed to validate the association between the grades of severity of diabetic foot ulcers (DFUs) identified by the fast-tack model and specific outcomes. Three hundred and sixty-seven patients with new DFUs who were referred to a tertiary level diabetic foot service serving Rome, Italy, we...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917528/ https://www.ncbi.nlm.nih.gov/pubmed/36769408 http://dx.doi.org/10.3390/jcm12030761 |
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author | Meloni, Marco Bouillet, Benjamin Ahluwalia, Raju Sanchez-Rios, Juan Pedro Iacopi, Elisabetta Izzo, Valentina Manu, Chris Julien, Vouillarmet Luedmann, Claas Garcia-Klepzig, José Luis Guillaumat, Jérome Lazaro-Martinez, Jose Luis |
author_facet | Meloni, Marco Bouillet, Benjamin Ahluwalia, Raju Sanchez-Rios, Juan Pedro Iacopi, Elisabetta Izzo, Valentina Manu, Chris Julien, Vouillarmet Luedmann, Claas Garcia-Klepzig, José Luis Guillaumat, Jérome Lazaro-Martinez, Jose Luis |
author_sort | Meloni, Marco |
collection | PubMed |
description | This study aimed to validate the association between the grades of severity of diabetic foot ulcers (DFUs) identified by the fast-tack model and specific outcomes. Three hundred and sixty-seven patients with new DFUs who were referred to a tertiary level diabetic foot service serving Rome, Italy, were included. The fast-track model identifies three levels of DFUs’ severity: uncomplicated DFUs, including superficial wounds, not-infected wounds, and not-ischemic wounds; complicated DFUs, including ischemic wounds, infected wounds, and deep ulcers involving the muscles, tendons, or bones, and any kind of ulcers in patients on dialysis and/or with heart failure; and severely complicated DFUs, including abscesses, wet gangrene, necrotizing fasciitis, fever, or clinical signs of sepsis. Healing, minor and major amputation, hospitalization, and survival after 24 weeks of follow-up were considered. Among the included patients, 35 (9.6%) had uncomplicated DFUs, 210 (57.2%) had complicated DFUs, and 122 (33.2%) had severely complicated DFUs. The outcomes for patients with uncomplicated, complicated, and severely complicated DFUs were as follows, respectively: healing, 97.1%, 86.2%, and 69.8%; minor amputation, 2.9%, 20%, and 66.4%; major amputation, 0%, 2.9%, and 16.4%; hospitalization, 14.3%, 55.7%, and 89.3%; survival, 100%, 96.7%, and 89.3%. DFU severity was an independent predictor of healing, amputation, hospitalization, and survival. The current study shows an association between the grade of severity of DFUs identified by the fast-track model and the considered outcomes. The fast-track model may be a useful tool for assessing the severity and prognosis of DFUs. |
format | Online Article Text |
id | pubmed-9917528 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99175282023-02-11 Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers Meloni, Marco Bouillet, Benjamin Ahluwalia, Raju Sanchez-Rios, Juan Pedro Iacopi, Elisabetta Izzo, Valentina Manu, Chris Julien, Vouillarmet Luedmann, Claas Garcia-Klepzig, José Luis Guillaumat, Jérome Lazaro-Martinez, Jose Luis J Clin Med Article This study aimed to validate the association between the grades of severity of diabetic foot ulcers (DFUs) identified by the fast-tack model and specific outcomes. Three hundred and sixty-seven patients with new DFUs who were referred to a tertiary level diabetic foot service serving Rome, Italy, were included. The fast-track model identifies three levels of DFUs’ severity: uncomplicated DFUs, including superficial wounds, not-infected wounds, and not-ischemic wounds; complicated DFUs, including ischemic wounds, infected wounds, and deep ulcers involving the muscles, tendons, or bones, and any kind of ulcers in patients on dialysis and/or with heart failure; and severely complicated DFUs, including abscesses, wet gangrene, necrotizing fasciitis, fever, or clinical signs of sepsis. Healing, minor and major amputation, hospitalization, and survival after 24 weeks of follow-up were considered. Among the included patients, 35 (9.6%) had uncomplicated DFUs, 210 (57.2%) had complicated DFUs, and 122 (33.2%) had severely complicated DFUs. The outcomes for patients with uncomplicated, complicated, and severely complicated DFUs were as follows, respectively: healing, 97.1%, 86.2%, and 69.8%; minor amputation, 2.9%, 20%, and 66.4%; major amputation, 0%, 2.9%, and 16.4%; hospitalization, 14.3%, 55.7%, and 89.3%; survival, 100%, 96.7%, and 89.3%. DFU severity was an independent predictor of healing, amputation, hospitalization, and survival. The current study shows an association between the grade of severity of DFUs identified by the fast-track model and the considered outcomes. The fast-track model may be a useful tool for assessing the severity and prognosis of DFUs. MDPI 2023-01-18 /pmc/articles/PMC9917528/ /pubmed/36769408 http://dx.doi.org/10.3390/jcm12030761 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Meloni, Marco Bouillet, Benjamin Ahluwalia, Raju Sanchez-Rios, Juan Pedro Iacopi, Elisabetta Izzo, Valentina Manu, Chris Julien, Vouillarmet Luedmann, Claas Garcia-Klepzig, José Luis Guillaumat, Jérome Lazaro-Martinez, Jose Luis Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers |
title | Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers |
title_full | Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers |
title_fullStr | Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers |
title_full_unstemmed | Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers |
title_short | Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers |
title_sort | validation of the fast-track model: a simple tool to assess the severity of diabetic foot ulcers |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917528/ https://www.ncbi.nlm.nih.gov/pubmed/36769408 http://dx.doi.org/10.3390/jcm12030761 |
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