Source:http://linkedlifedata.com/resource/pubmed/id/16984580
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2006-9-20
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pubmed:abstractText |
The purpose of this project was to evaluate associations of increasing diabetic foot surgery stage with postoperative outcome. This project, designed as a retrospective cohort model, was conducted at three large, urban referral-based diabetic foot clinics. The investigators abstracted medical records from 180 patients with diabetes, 76.1% male, aged 57.8 +/- 11.2 years, falling equally into four classes of a previously reported diabetic foot surgery classification system. These classes included class 1 (elective), class 2 (prophylactic), class 3 (curative) and class 4 (emergency). There was a significant trend towards increasing risk of ulceration/reulceration (chi2(trend) = 17.8, P = 0.0001), peri-postoperative infection (chi2(trend) = 96.9, P = 0.0001), all-level amputation (chi2(trend) = 41.7, P = 0.001) and major amputation (chi2(trend) = 8.6, P = 0.003), with increasing class of foot surgery. The results of this study suggest that a non vascular foot surgery classification system including variables such as the presence or absence of neuropathy, an open wound and acute infection may be predictive of peri- and postoperative complications. This may assist the surgeon in better identifying risk when determining a rationale for and type of surgery in persons with diabetes.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1742-4801
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
240-6
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pubmed:meshHeading |
pubmed-meshheading:16984580-Aged,
pubmed-meshheading:16984580-Amputation,
pubmed-meshheading:16984580-Diabetic Foot,
pubmed-meshheading:16984580-Female,
pubmed-meshheading:16984580-Humans,
pubmed-meshheading:16984580-Male,
pubmed-meshheading:16984580-Middle Aged,
pubmed-meshheading:16984580-Outcome Assessment (Health Care),
pubmed-meshheading:16984580-Recurrence,
pubmed-meshheading:16984580-Retrospective Studies,
pubmed-meshheading:16984580-Risk Assessment,
pubmed-meshheading:16984580-Surgical Procedures, Operative,
pubmed-meshheading:16984580-Surgical Wound Dehiscence,
pubmed-meshheading:16984580-Treatment Outcome
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pubmed:year |
2006
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pubmed:articleTitle |
Validation of a diabetic foot surgery classification.
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pubmed:affiliation |
Scholl's Center for Lower Extremity Ambulatory Research at Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA. armstrong@usa.net
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pubmed:publicationType |
Journal Article,
Multicenter Study,
Validation Studies
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