Prediction of outcome in individuals with diabetic foot ulcers: focus on the differences between individuals with and without peripheral arterial disease. The EURODIALE Study

Prediction of outcome in individuals with diabetic foot ulcers: focus on the differences between individuals with and without peripheral arterial disease. The EURODIALE Study

23 February 2008 | L. Prompers · N. Schaper · J. Apelqvist · M. Edmonds · E. Jude · D. Mauricio · L. Uccioi · V. Urbancic · K. Bakker · P. Holstein · A. Jirkovska · A. Piaggesi · G. Ragnarson-Tennvall · H. Reike · M. Spraul · K. Van Acker · J. Van Baal · F. Van Merode · I. Ferreira · M. Huijberts
The study "Prediction of outcome in individuals with diabetic foot ulcers: focus on the differences between individuals with and without peripheral arterial disease" by L. Prompers et al. examines the clinical characteristics that predict poor outcomes in diabetic foot ulcer patients and whether these predictors differ between those with and without peripheral arterial disease (PAD). The EURODIALE Study, a prospective cohort study involving 1,088 diabetic foot ulcer patients across 14 European centers, was used to analyze data. After one year, 23% of patients had not healed. Independent predictors of non-healing in the entire study population included older age, male sex, heart failure, inability to stand or walk without help, end-stage renal disease, larger ulcer size, peripheral neuropathy, and PAD. When analyzed by PAD status, infection emerged as a specific predictor of non-healing only in patients with PAD. The study concludes that predictors of healing differ between patients with and without PAD, suggesting that diabetic foot ulcers with or without PAD should be considered as separate disease states. The negative impact of infection on healing in PAD patients warrants further investigation.The study "Prediction of outcome in individuals with diabetic foot ulcers: focus on the differences between individuals with and without peripheral arterial disease" by L. Prompers et al. examines the clinical characteristics that predict poor outcomes in diabetic foot ulcer patients and whether these predictors differ between those with and without peripheral arterial disease (PAD). The EURODIALE Study, a prospective cohort study involving 1,088 diabetic foot ulcer patients across 14 European centers, was used to analyze data. After one year, 23% of patients had not healed. Independent predictors of non-healing in the entire study population included older age, male sex, heart failure, inability to stand or walk without help, end-stage renal disease, larger ulcer size, peripheral neuropathy, and PAD. When analyzed by PAD status, infection emerged as a specific predictor of non-healing only in patients with PAD. The study concludes that predictors of healing differ between patients with and without PAD, suggesting that diabetic foot ulcers with or without PAD should be considered as separate disease states. The negative impact of infection on healing in PAD patients warrants further investigation.
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