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Role of Perfusion, Extent, Depth, Infection and Sensation Scores in Determining the Outcome of Patients with Diabetic Foot Ulcers: A Prospective Cohort Study |
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Nirmal Kumar Agarwal, Dhirendra Nath Choudhury, Biswajit Das, Tapash Kumar Kalita 1. Associate Professor, Department of General Surgery, Tezpur Medical College and Hospital, Tezpur, Assam, India. 2. Professor and Head, Department of General Surgery, Tezpur Medical College and Hospital, Tezpur, Assam, India. 3. Assistant Professor, Department of General Surgery, Tezpur Medical College and Hospital, Tezpur, Assam, India. 4. Junior Resident, Department of General Surgery, Tezpur Medical College and Hospital, Tezpur, Assam, India. |
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Correspondence Address : Tapash Kumar Kalita, HN 34, Bathow Mandir by Lane, Ganeshpara, Guwahati-781025, Kamrup Metro, Tezpur, Assam, India. E-mail: mytapash88@gmail.com |
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| ABSTRACT |  | ||||||
: Introduction: Diabetes mellitus is a major public health problem in India. A Diabetic Foot Ulcer (DFU) is characterised by a full-thickness wound, skin necrosis, or gangrene below the ankle brought on by peripheral neuropathy or peripheral artery disease in diabetic patients. Numerous classification schemes have been put forth to classify and forecast the clinical outcomes of DFUs. The Perfusion, Extent, Depth, Infection and Sensation Score (PEDIS) classification system was developed to objectively categorise and define DFUs, facilitating communication between healthcare providers. Aim: To determine the utility of the PEDIS score in predicting the outcomes of patients with DFUs. Materials and Methods: The present single-centre prospective cohort study was conducted in the Department of General Surgery, Tezpur Medical College and Hospital, Tezpur, Assam, India, from August 1, 2022 to January 30, 2023, involving 60 patients. A PEDIS score was calculated and recorded for each patient. Patients were then classified into low-score (0-7) or high-score (8-12) groups and followed up for six months. Outcomes were categorised as healed, unhealed, amputated, or deceased. Categorical data were presented as percentages and compared using the Chi-square test. The Receiver Operating Characteristic (ROC) curve was utilised to determine the cut-off value. A p-value <0.05 was considered statistically significant. Results: The mean±Standard Deviation (SD) age at presentation was 49±14 years with a male preponderance (Male:Female= 2:1). Of all patients, 40 (66.67%) were healed following debridement and dressing, 11 (18.3%) had non healing ulcers, 5 (8.3%) underwent amputation, and 4 (6.67%) expired. Thirty-four (85%) of healed patients had PEDIS scores below eight, and 7 (63.6%) of patients with non healing ulcers had high PEDIS scores. Those undergoing amputation, 4 (80%) had high PEDIS scores and all deceased patients had high PEDIS scores. Conclusion: Patients with DFUs who had higher PEDIS scores were more likely to develop complications such as non healing ulcers or require amputation. Therefore, the PEDIS score is a valuable system in clinical practice and can be uniformly applied to compare the outcomes of DFUs. | |||||||
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| Keywords : Amputation, Brachial index, Dorsalis pedis, Surgical | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2024/68726.2982
Date of Submission: Nov 22, 2023 Date of Peer Review: Jan 15, 2024 Date of Acceptance: Feb 10, 2024 Date of Publishing: May 01, 2024 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. NA PLAGIARISM CHECKING METH |
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