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- Title
Validation of the Fast-Track Model: A Simple Tool to Assess the Severity of Diabetic Foot Ulcers.
- Authors
Meloni, Marco; Bouillet, Benjamin; Ahluwalia, Raju; Sanchez-Rios, Juan Pedro; Iacopi, Elisabetta; Izzo, Valentina; Manu, Chris; Julien, Vouillarmet; Luedmann, Claas; Garcia-Klepzig, José Luis; Guillaumat, Jérome; Lazaro-Martinez, Jose Luis
- Abstract
This study aimed to validate the association between the grades of severity of diabetic foot ulcers (DFUs) identified by the fast-tack model and specific outcomes. Three hundred and sixty-seven patients with new DFUs who were referred to a tertiary level diabetic foot service serving Rome, Italy, were included. The fast-track model identifies three levels of DFUs' severity: uncomplicated DFUs, including superficial wounds, not-infected wounds, and not-ischemic wounds; complicated DFUs, including ischemic wounds, infected wounds, and deep ulcers involving the muscles, tendons, or bones, and any kind of ulcers in patients on dialysis and/or with heart failure; and severely complicated DFUs, including abscesses, wet gangrene, necrotizing fasciitis, fever, or clinical signs of sepsis. Healing, minor and major amputation, hospitalization, and survival after 24 weeks of follow-up were considered. Among the included patients, 35 (9.6%) had uncomplicated DFUs, 210 (57.2%) had complicated DFUs, and 122 (33.2%) had severely complicated DFUs. The outcomes for patients with uncomplicated, complicated, and severely complicated DFUs were as follows, respectively: healing, 97.1%, 86.2%, and 69.8%; minor amputation, 2.9%, 20%, and 66.4%; major amputation, 0%, 2.9%, and 16.4%; hospitalization, 14.3%, 55.7%, and 89.3%; survival, 100%, 96.7%, and 89.3%. DFU severity was an independent predictor of healing, amputation, hospitalization, and survival. The current study shows an association between the grade of severity of DFUs identified by the fast-track model and the considered outcomes. The fast-track model may be a useful tool for assessing the severity and prognosis of DFUs.
- Subjects
ROME; DIABETIC foot; PRESSURE ulcers; HEART failure; NECROTIZING fasciitis; SYMPTOMS; MODEL validation; HEALING
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 3, p761
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12030761