Classification of Diabetic Foot Ulcers

Catfoot · Oct 7, 2017

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I was wondering if anyone has any information about the Edmunds/Foster Scale of classification?

All I can find out is that; it is a 6 point system; it seems to have no data to support it and no validation study has been conducted.

Thanks in advance.

CF

NewsBot · Oct 7, 2017

Not the one you after, but: New diabetic foot classification needed

NewsBot · Mar 18, 2018

Wagner Versus The University Of Texas Classification Of Diabetic Foot Ulcers: A Descriptive Study In Nishter Hospital Multan
Muhammad Sabir et al
ANNALS OF PIMS-13(4) OCT-DEC 2017

Objective: The aim of this study was to compare two widely used classification systems “Wagner and university of Texas Classification” in description of diabetic ulcer.
Study design: Descriptive study
Place and duration of study: The study was conducted in surgical department of Nishtar Medical University and Hospital, Multan from January 2015 to January 2017
Material and Methods: All the patients with new foot ulcer because of diabetes either single or multiple on same foot or on both feet coming in OPD of Nishtar Medical University and Hospital were enrolled in this Descriptive study. Demographic data such as gender, age, diabetes duration, smoking, socioeconomic status, education level, hypertension and history of cardiovascular and cerebrovascular disease, and other chronic complications of diabetes were also recorded. Along with wound measurement grading was done using Wagner and university of Texas classification. Statistical analysis was performed by using SPSS version 21. To describe the data frequency tables, graphs and descriptive statistics like mean and standard deviation is used. For the purpose of analysis t test is used at 5% level of significance.
Results: One hundred individuals with diabetic foot ulcers were studied in 24-month period. Demographic and clinical data depicts presence of neuropathy in 67 patients (67%). Ischemic limb was diagnosed in 26 patients (26%). 34 patients got amputation (34%) while in 17 patients healing was problematic. There were no major amputations. None were lost to follow-up and none died. A significant number of our patients were lower socioeconomic status and was having no education. When results of both the classification were compared by using student t test (p value indicate no statistical significance >0.05)
Conclusion: This study confirmed that both classification systems are equally good in description of diabetic foot ulcer.
Click to expand...

NewsBot · Jul 1, 2018

A one year cross sectional study on role of Wagner’s classification in
predicting the outcome in diabetic foot ulcer patients
Praveena DL et al.
Int Surg J. 2018 Jul;5(7):2537-2542

Background: Diabetes mellitus-related foot ulceration is very common. Several classification systems for diabetic
foot ulcers have been proposed. The present study was intended to assess the role of Wagner wound classification in
predicting the outcome of diabetic foot ulcer and also know the grade of Wagner’s classification to which majority of
diabetic foot ulcer patients.
Methods: This present one year cross sectional study was carried out at the Department of General Surgery. A total
of 100 patients with diabetic foot ulcer who presented during the study period were included. The diabetic foot ulcers
were graded according to the Wagner’s classification. The relative risk of amputation in different grades of diabetic
foot ulcer based on Wagner classification was determined.
Results: In this study majority of the patients were males (79%) and the male to female ratio was 3.76:1. The mean
age was noted as 55.8±10.45 years. Majority of the patients had duration of ulcer less than one month (88%).
Surrounding skin was inflamed in 60% of the patients, necrosis was present in 40% and slough was noted in 98%
while 44% of the patients had necrotic tissue. Based on Wagner’s Classification, most of the patients (48%) had
Grade II diabetic foot ulcers. With regard to management, in 44% of the patients’ debridement was done and 36% of
the patients had disarticulation or amputation in 36%. Of the 48 patients with grade II ulcer, 79% of the patients had
healing without amputation. Of the 58 patients with grade I and II diabetic foot ulcers, 82.76% had healing without
amputation compared to 17.24% of the patients who needed amputation. Patients with Grade III, IV and V had 3.59
times higher risk of amputation compared to patients with grade I and II. (p<0.001; 95% CI- 1.95 to 6.62).
Conclusions: Grading of diabetic foot ulcer based on Wagner’s classification affects and predicts the outcome and
the risk of amputation increases with increasing
Click to expand...

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