| Prognostic value of systolic ankle and toe blood pressure levels in outcome of diabetic foot ulcer. | |
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MedLine Citation:
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PMID: 2731457 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The prognostic value of distal blood pressure measurements has been studied in 314 consecutive diabetic patients with foot ulcers. Systolic toe blood pressure was measured with a strain-gauge technique, and ankle pressure was measured with strain-gauge or Doppler techniques. Wound healing was defined as intact skin for at least 6 mo. One hundred ninety-seven patients healed primarily, 77 had amputations, and 40 died before healing had occurred. In 294 of 300 patients, it was possible to measure either ankle or toe pressure. Fourteen patients were not available for pressure measurements. Of these, 10 patients healed primarily, and 4 died before healing occurred. Both ankle and toe pressures were higher (P less than .001) among patients who healed without amputation compared with those who underwent amputation or died before healing. No differences were seen in ankle or toe pressure levels among those who had amputations or died. No patient healed primarily with an ankle pressure less than 40 mmHg. An upper limit above which amputation was not required could not be defined. Primary healing was achieved in 139 of 164 patients (85%) with a toe pressure level greater than 45 mmHg, whereas 43 of 117 patients (36%; P less than .001) healed without amputation when toe pressure was less than or equal to 45 mmHg. In conclusion, a combination of ankle and toe pressure measurements is a useful tool to predict primary healing in diabetic foot ulcers. |
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Authors:
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J Apelqvist; J Castenfors; J Larsson; A Stenström; C D Agardh |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Diabetes care Volume: 12 ISSN: 0149-5992 ISO Abbreviation: Diabetes Care Publication Date: 1989 Jun |
Date Detail:
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Created Date: 1989-07-21 Completed Date: 1989-07-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7805975 Medline TA: Diabetes Care Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 373-8 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, University Hospital, Lund, Sweden. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Amputation Ankle Diabetes Complications* Diabetes Mellitus / physiopathology Diabetic Neuropathies / physiopathology Female Foot Diseases / physiopathology* Humans Male Middle Aged Myocardial Contraction* Prognosis Prospective Studies Skin Ulcer / physiopathology* Systole* Toes Ultrasonics Wound Healing* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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