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Auteur Lourdes Vella
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Ajouter le résultat dans votre panier Affiner la rechercheCharacteristics predicting the outcome in individuals with diabetic foot ulcerations / Lourdes Vella in Journal of the American Podiatric Medical Association, vol. 107, 3 (Mai-juin 2017)
[article]
in Journal of the American Podiatric Medical Association > vol. 107, 3 (Mai-juin 2017) . - p. 180-191
Titre : Characteristics predicting the outcome in individuals with diabetic foot ulcerations Type de document : article de périodique Auteurs : Lourdes Vella, Auteur ; Cynthia Formosa, Auteur Année de publication : 2017 Article en page(s) : p. 180-191 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]Pied diabétiqueMots-clés : diabetic foot foot ulcer prevention Résumé : Background: We sought to determine patient and ulcer characteristics that predict wound healing in patients living with diabetes. Methods: A prospective observational study was conducted on 99 patients presenting with diabetic foot ulceration. Patient and ulcer characteristics were recorded. Patients were followed up for a maximum of 1 year. Results: After 1 year of follow-up, ulcer characteristics were more predictive of ulcer healing than were patient characteristics. Seventy-seven percent of ulcers had healed and 23% had not healed. Independent predictors of nonhealing were ulcer stage (P ¼ .003), presence of biofilm (P ¼ .020), and ulcer depth (P ¼ .028). Although this study demonstrated that the baseline hemoglobin A1c reading at the start of the study was not a significant predictor of foot ulcer outcome (P ¼ .603, resolved versus amputated), on further statistical analyses, when hemoglobin A1c was compared with the time taken for complete ulcer healing (n ¼ 77), it proved to be significant (P ¼ .009). Conclusions: The factors influencing healing are ulcer stage, presence of biofilm, and ulcer depth. These findings have important implications for clinical practice, especially in an outpatient setting. Prediction of outcome may be helpful for health-care professionals in individualizing and optimizing clinical assessment and management of patients. Identification of determinants of outcome could result in improved health outcomes, improved quality of life, and fewer diabetes-related foot complications. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Does baseline hemoglobin a1c level predict diabetic foot ulcer outcome or wound healing time? / Lourdes Vella in Journal of the American Podiatric Medical Association, vol. 107, 4 (Juillet- août 2017)
[article]
in Journal of the American Podiatric Medical Association > vol. 107, 4 (Juillet- août 2017) . - p. 272-279
Titre : Does baseline hemoglobin a1c level predict diabetic foot ulcer outcome or wound healing time? Type de document : article de périodique Auteurs : Lourdes Vella, Auteur ; [et al.], Auteur Année de publication : 2017 Article en page(s) : p. 272-279 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Diabète de type 2
[Thésaurus Mesh]Hémoglobine A glycosylée
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Présentations de cas
[Thésaurus Mesh]Signes et symptômes
[Thésaurus HELB]:Paramédical:Niveau initialMots-clés : hemoglobin A, glycosylated Baseline level signs and symptoms diabetes mellitus, type 2 diabetic foot case reports Résumé : Background: We sought to evaluate the relationship between baseline hemoglobin A1c (HbA1c) level and clinical outcomes, including foot ulcer outcome (resolved versus unresolved) and wound-healing time, in individuals with type 2 diabetes.
Methods: A prospective observational study was conducted on 99 patients presenting with a diabetic foot ulceration. Patient and ulcer characteristics were recorded. Patients were followed up for a maximum of 1 year.
Results: After 1 year of follow-up, 77% of ulcers healed and 23% did not heal. Although this study demonstrated that the baseline HbA1c reading was not a significant predictor of foot ulcer outcome (P ¼ .603, resolved versus amputated), on further statistical analyses, when HbA1c was compared with the time taken for complete ulcer healing in the resolved group (n ¼ 77), it proved to be significant (P ¼ .009).
Conclusions: These findings have important implications for clinical practice, especially in an outpatient setting. Improving glycemic control may improve ulcer outcomes. Prediction of outcome may be helpful for health-care professionals in individualizing and optimizing clinical assessment and management of patients. Identification of determinants of outcome could result in improved health outcomes, improved quality of life, and fewer diabetes-related foot complications.
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible