Sam Victor, I G (2020) Assessment of the Usefulness of Diafora Tool in the Management of Diabetic Foot Ulcers: A Clinical study. Masters thesis, Coimbatore Medical College, Coimbatore.
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Abstract
PURPOSE: The Aim of the study was to assess the usefulness of the DIAFORA tool in predicting the occurrence of Lower Extremity Amputations (LEA’s) in the patients with Diabetic Foot Ulcers (DFU). DESIGN: Around 110 patients who were admitted with DFUs in the in-patient department of CMCH were assessed and classified according to the DIAFORA tool and were prospectively followed up for a period of 1 year, for outcomes such as ulcer healing or LEAs or death, and were compared with the risk category of DIAFORA to assess its usefulness in the prediction of LEA occurrence in the CMCH in-patient set-up. RESULTS: Among the 23 patients in low-risk category, none (0%) needed amputation. Among the 35 patients in medium-risk category only 6 (17%) needed amputation. Among the 52 patients classified as high-risk category 48 (96%) needed amputation in the follow up period. These results were statistically significant and strong association were found between the individual ulcer and foot related variables and probability of LEA’s. CONCLUSION: Hence this classification can be used in our set-up for assessing the predictability of occurrence of Lower Extremity Amputations (LEA’s) in patients with Diabetic Foot Ulcers (DFU’s). And the management protocols for the patients can be planned and the treatment can be appropriately changed according tot their risk criteria and this can be used in the prevention of occurrence of LEA’s in the Diabetic Foot Ulcer patients.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711314 |
| Uncontrolled Keywords: | Assessment, Usefulness, Diafora Tool, Management, Diabetic Foot Ulcers, Clinical study. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 18:16 |
| Last Modified: | 10 Feb 2021 18:16 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14025 |
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