open access

Vol 3, No 4 (2002): Practical Diabetology
Original articles (translated)
Published online: 2002-09-25
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Diabetic neuropathic foot ulcers. The association of wound size, wound duration, and wound grade on healing

David J. Margolis, Ole Hoffstad, Lynne Allen-Taylor, Jesse A. Berlin
Diabetologia Praktyczna 2002;3(4):265-272.

open access

Vol 3, No 4 (2002): Practical Diabetology
Original articles (translated)
Published online: 2002-09-25

Abstract

INTRODUCTION. The goal of this study was to evaluate whether simple risk factors can be identified that successfully characterize who will heal and who will not heal among patients who have received standard therapy for diabetic neuropathic foot ulcers.
MATERIAL AND METHODS. For this cohort study, we evaluated > 31,000 individuals with a diabetic neuropathic foot ulcer seen in the Curative Health Services System. Using multivariate logistic regression, we evaluated the association between wound size, wound duration, wound grade, and other variables and their effect on whether a patient would heal by the 20th week of care.
RESULTS. We demonstrated that wound size, wound duration, and wound grade are all significantly associated with the likelihood of a wound healing by the 20th week of care. In addition, we noted that these associations were not significantly affected by the treating wound care center, whether the unit of analysis was one wound on a patient or all of their wounds, or current adjuvant therapies.
CONCLUSIONS. We have shown that three easy-to- -measure risk factors are associated with a wound healing. These results should help clinicians understand the likelihood that a wound will heal and help those conducting clinical investigations to design better trials.

Abstract

INTRODUCTION. The goal of this study was to evaluate whether simple risk factors can be identified that successfully characterize who will heal and who will not heal among patients who have received standard therapy for diabetic neuropathic foot ulcers.
MATERIAL AND METHODS. For this cohort study, we evaluated > 31,000 individuals with a diabetic neuropathic foot ulcer seen in the Curative Health Services System. Using multivariate logistic regression, we evaluated the association between wound size, wound duration, wound grade, and other variables and their effect on whether a patient would heal by the 20th week of care.
RESULTS. We demonstrated that wound size, wound duration, and wound grade are all significantly associated with the likelihood of a wound healing by the 20th week of care. In addition, we noted that these associations were not significantly affected by the treating wound care center, whether the unit of analysis was one wound on a patient or all of their wounds, or current adjuvant therapies.
CONCLUSIONS. We have shown that three easy-to- -measure risk factors are associated with a wound healing. These results should help clinicians understand the likelihood that a wound will heal and help those conducting clinical investigations to design better trials.
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Keywords

diabetic neuropathy; foot ulcers; risk factors

About this article
Title

Diabetic neuropathic foot ulcers. The association of wound size, wound duration, and wound grade on healing

Journal

Clinical Diabetology

Issue

Vol 3, No 4 (2002): Practical Diabetology

Pages

265-272

Published online

2002-09-25

Bibliographic record

Diabetologia Praktyczna 2002;3(4):265-272.

Keywords

diabetic neuropathy
foot ulcers
risk factors

Authors

David J. Margolis
Ole Hoffstad
Lynne Allen-Taylor
Jesse A. Berlin

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