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Use of consecutive transcutaneous oxygen measurement when assessing the need for revascularization and association with the outcomes of ischemic diabetic ulcers.
- Source :
- International Wound Journal; Jan2024, Vol. 21 Issue 1, p1-12, 12p
- Publication Year :
- 2024
-
Abstract
- This study compared the ankle‐brachial index (ABI) with transcutaneous oxygen pressure (TcPO2) in assessing peripheral vascular disease (PVD) prevalence in 100 diabetic foot ulcer (DFU) patients. Patients were categorized into vascular or nonvascular reconstruction groups and underwent both ABI and TcPO2 measurements four times over 6 months. Predictive validity for PVD diagnosis was analysed using the area under the receiver‐operating characteristic curve (AUC). The study found TcPO2 to be a superior predictor of PVD than ABI. Among the DFU patients, 51 with abnormal TcPO2 values underwent vascular reconstruction. Only TcPO2 values showed significant pretreatment differences between the groups and increased post‐reconstruction. These values declined over a 6‐month follow‐up, whereas ABI values rose. For those with end‐stage renal disease (ESRD), TcPO2 values saw a sharp decrease within 3 months. Pre‐reconstruction TcPO2 was notably lower in amputation patients versus limb salvage surgery patients. In conclusion, TcPO2 is more effective than ABI for evaluating ischemic limb perfusion and revascularization necessity. It should be prioritized as the primary follow‐up tool, especially for ESRD patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- PERIPHERAL vascular disease diagnosis
ISCHEMIA
TRAUMATOLOGY diagnosis
CHRONIC kidney failure
GLOMERULAR filtration rate
STATISTICS
ANKLE brachial index
BLOOD vessels
CONFIDENCE intervals
REVASCULARIZATION (Surgery)
PERIPHERAL vascular diseases
DIABETIC foot
HEALTH outcome assessment
MANN Whitney U Test
COMPARATIVE studies
URBAN hospitals
T-test (Statistics)
RESEARCH funding
LIMB salvage
CHI-squared test
DESCRIPTIVE statistics
RECEIVER operating characteristic curves
PREDICTIVE validity
LOGISTIC regression analysis
COMPUTED tomography
AMPUTATION
DATA analysis
DATA analysis software
ODDS ratio
TRANSCUTANEOUS blood gas monitoring
MEDICAL needs assessment
LONGITUDINAL method
WOUND care
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 17424801
- Volume :
- 21
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Wound Journal
- Publication Type :
- Academic Journal
- Accession number :
- 175054781
- Full Text :
- https://doi.org/10.1111/iwj.14635