Validation of a diabetic foot surgery classification

David G Armstrong, Lawrence A. Lavery, Robert G. Frykberg, Stephanie C. Wu, Andrew J M Boulton

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

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 (χ2trend = 17.8, P = 0.0001), peri-postoperative infection (χ2trend = 96.9, P = 0.0001), all-level amputation (χ2trend = 41.7 P = 0.001) and major amputation (χ2trend = 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.

Original languageEnglish (US)
JournalInternational Wound Journal
Volume3
Issue number3
DOIs
StatePublished - Sep 2006
Externally publishedYes

Fingerprint

Diabetic Foot
Amputation
Foot
Wound Infection
Medical Records
Blood Vessels
Emergencies
Referral and Consultation
Research Personnel
Infection

Keywords

  • Amputation
  • Classification
  • Risk
  • Surgery
  • Wound

ASJC Scopus subject areas

  • Surgery

Cite this

Validation of a diabetic foot surgery classification. / Armstrong, David G; Lavery, Lawrence A.; Frykberg, Robert G.; Wu, Stephanie C.; Boulton, Andrew J M.

In: International Wound Journal, Vol. 3, No. 3, 09.2006.

Research output: Contribution to journalArticle

Armstrong, David G ; Lavery, Lawrence A. ; Frykberg, Robert G. ; Wu, Stephanie C. ; Boulton, Andrew J M. / Validation of a diabetic foot surgery classification. In: International Wound Journal. 2006 ; Vol. 3, No. 3.
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