A Prospective Study of Predictors for Foot Ulceration in Type 2 Diabetes
| Autor: | S Sauseng, K Irsigler, G Sokol, T Kästenbauer, Martin Auinger |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Type 2 diabetes Vibration perception Risk Factors Internal medicine Diabetes mellitus medicine Humans Prospective Studies Prospective cohort study Proportional Hazards Models business.industry Incidence Forefoot General Medicine Middle Aged Prognosis medicine.disease Diabetic Foot Surgery Diabetes Mellitus Type 2 Relative risk Cohort Female business Foot (unit) |
| Zdroj: | Journal of the American Podiatric Medical Association. 91:343-350 |
| ISSN: | 1930-8264 8750-7315 |
| Popis: | One hundred eighty-seven type 2 diabetic patients without a history of foot ulceration were followed for a mean period of 3.6 years to investigate the incidence of foot ulceration in a diabetes cohort and to analyze risk factors for foot ulceration by multivariate means. During the study, 10 subjects developed 18 forefoot ulcerations. In multivariate logistic regression, significant predictors for foot ulceration were an elevated vibration perception threshold (VPT) (relative risk [RR] = 25.4), an increased plantar pressure (RR = 6.3), and daily alcohol intake (RR = 5.1). This is the first prospective study to demonstrate plantar pressure and daily alcohol intake as predictors of foot ulceration among patients without previous ulceration. Further, VPT could be confirmed as the strongest predictor for foot ulceration, and it was clearly demonstrated that the more pronounced severity of complications occurred among subjects with elevated VPT. (J Am Podiatr Med Assoc 91(7): 343-350, 2001) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|