COMPARISON OF DIABETIC FOOT ULCER HEALING IN DIFFERENT SEVERITY CLASSIFICATION OF NEUROPATHY

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AALAA MARYAM; MOHAJERI TEHRANI MOHAMMAD REZA; RAMEZANI GHOBAD; AMINI MOHAMMAD REZA; ABOEE RAD MARYAM; SANJARI MAHNAZ

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Journal: Iranian Journal of Diabetes and Metabolism Year:2019 | Volume:19 | Issue:1 Page(s): 51-60

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Title

COMPARISON OF DIABETIC FOOT ULCER HEALING IN DIFFERENT SEVERITY CLASSIFICATION OF NEUROPATHY

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Keywords

Diabetic Foot UlcerQ2

Peripheral NeuropathyQ3

Wound HealingQ1

Abstract

Background: Peripheral Neuropathy is one of the most common problems in diabetic patients. The increased risk of Diabetic Foot Ulceration (DFU) and amputation would be a complication of diabetic neuropathy. The aim of this study was to compare the DFU healing in different severity classification of neuropathy. Methods: This is a retrospective study that was conducted over a two-year period from April 2016 to March 2018 according to the information of patients records with Diabetes Mellitus (DM) referred to clinic of diabetes and metabolic disorders of Endocrinology and Metabolism Research Institute of Tehran University of Medical Sciences. Wound Healing criteria including area, depth and healing duration were studied. Accordingly, changes in the area and depth of wounds were evaluated and reported during the first, third and sixth months after baseline. Data were analyzed using descriptive and inferential statistics using SPSS software version 16. Results: The results of the study of patients with neuropathic ulcer showed that males and age group of 56 to 65 years had the highest frequencies. In addition, most of these patients suffered from type 2 DM (79%). The rate of Wound Healing, which was measured by area and depth of wound in three time periods, differed in different severity classification of neuropathy; at mild level of neuropathy the area and depth of wound decreased faster but in severe neuropathy, duration of Wound Healing in both mentioned criteria has increased. Regarding to the increase in the duration of DM, the healing time increased too. However the rate of Wound Healing decreased with increased age (p-value = 0. 001). Conclusion: Evidence suggests that early identification of neuropathy can reduce the incidence of DFU and amputation. Due to the slow healing of the size and depth of the wound in diabetic patients with severe neuropathy, it is necessary to prevent DFU by conducting preventive care and educational interventions.

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APA: Copy

MOHAJERI TEHRANI, MOHAMMAD REZA, RAMEZANI, GHOBAD, AMINI, MOHAMMAD REZA, ABOEE RAD, MARYAM, & SANJARI, MAHNAZ. (2019). COMPARISON OF DIABETIC FOOT ULCER HEALING IN DIFFERENT SEVERITY CLASSIFICATION OF NEUROPATHY. JOURNAL OF DIABETES AND METABOLIC DISORDERS, 19(1 ), 51-60. SID. https://sid.ir/paper/413814/en

Vancouver: Copy

MOHAJERI TEHRANI MOHAMMAD REZA, RAMEZANI GHOBAD, AMINI MOHAMMAD REZA, ABOEE RAD MARYAM, SANJARI MAHNAZ. COMPARISON OF DIABETIC FOOT ULCER HEALING IN DIFFERENT SEVERITY CLASSIFICATION OF NEUROPATHY. JOURNAL OF DIABETES AND METABOLIC DISORDERS[Internet]. 2019;19(1 ):51-60. Available from: https://sid.ir/paper/413814/en

IEEE: Copy

MOHAMMAD REZA MOHAJERI TEHRANI, GHOBAD RAMEZANI, MOHAMMAD REZA AMINI, MARYAM ABOEE RAD, and MAHNAZ SANJARI, “COMPARISON OF DIABETIC FOOT ULCER HEALING IN DIFFERENT SEVERITY CLASSIFICATION OF NEUROPATHY,” JOURNAL OF DIABETES AND METABOLIC DISORDERS, vol. 19, no. 1 , pp. 51–60, 2019, [Online]. Available: https://sid.ir/paper/413814/en

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