Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review

Milad Jalilian,1 Pegah Ahmadi Sarbarzeh,1 Sajad Oubari2 1Nursing Department, Nursing and Midwifery School, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Laboratory Department, Paramedical School, Student Research Committee, Kermanshah University of Medical...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jalilian M, Ahmadi Sarbarzeh P, Oubari S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	diabetes diabetic foot ulcer severity Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/25f74609cd944fb89ee0b1dedeaebe6e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:25f74609cd944fb89ee0b1dedeaebe6e
record_format	dspace
spelling	oai:doaj.org-article:25f74609cd944fb89ee0b1dedeaebe6e2021-12-02T09:14:05ZFactors Related to Severity of Diabetic Foot Ulcer: A Systematic Review1178-7007https://doaj.org/article/25f74609cd944fb89ee0b1dedeaebe6e2020-05-01T00:00:00Zhttps://www.dovepress.com/factors-related-to-severity-of-diabetic-foot-ulcer-a-systematic-review-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Milad Jalilian,1 Pegah Ahmadi Sarbarzeh,1 Sajad Oubari2 1Nursing Department, Nursing and Midwifery School, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Laboratory Department, Paramedical School, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, IranCorrespondence: Milad Jalilian Tel +989187931047Email milladj1994@gmail.comBackground: Diabetic foot ulcer (DFU) is one of the diabetes complications. DFU can be the cause of a high rate of amputation, health-care costs and even death, and this condition occurs in the severity status of DFU. Severity of DFU is the cause of expensive complication incidence. Understanding the factors affecting it can help preventive functions. Adequate evidence for this problem is necessary. The aim of this systematic review is to summarize evidence on severity of diabetic foot ulcer.Methods: A literature search was undertaken in Scopus, PubMed, Elsevier, MEDLINE, Embase, UpToDate and Google Scholar. Observational studies that assessed severity of DFU were included. The data extraction and assessment are on the basis of PRISMA.Results: Seven studies were assessed and 25 factors that affect severity of DFU are reported in the studies. The most used score for an estimate of severity was the Wagner scale (n=5). The majority of patients were in G1 and G2 stages (67.5%; basis of Wagner) or have a superficial ulcer (62.84%) on the basis of the Texas Diabetic Wound Classification System. The main factors include high BMI, smoking, lack of diabetes control, type of diabetes treatment and older age. In addition, there were other factors that affect severity of DFU such as vascular complications, bacteria isolated, marital status, gender, high levels of cholesterol and triglycerides. Also, life location, type 2 diabetes, genotype, addiction, long-time DFU and delay to refer patients were other factors.Conclusion: Twenty-five factors were reported. The majority of these factors related to life-style and can be prevented by self-care functions. The effect of these factors needs further study and the further studies must be better in quality.Keywords: diabetes, diabetic foot ulcer, severityJalilian MAhmadi Sarbarzeh POubari SDove Medical Pressarticlediabetesdiabetic foot ulcerseveritySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1835-1842 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes diabetic foot ulcer severity Specialties of internal medicine RC581-951
spellingShingle	diabetes diabetic foot ulcer severity Specialties of internal medicine RC581-951 Jalilian M Ahmadi Sarbarzeh P Oubari S Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review
description	Milad Jalilian,1 Pegah Ahmadi Sarbarzeh,1 Sajad Oubari2 1Nursing Department, Nursing and Midwifery School, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Laboratory Department, Paramedical School, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, IranCorrespondence: Milad Jalilian Tel +989187931047Email milladj1994@gmail.comBackground: Diabetic foot ulcer (DFU) is one of the diabetes complications. DFU can be the cause of a high rate of amputation, health-care costs and even death, and this condition occurs in the severity status of DFU. Severity of DFU is the cause of expensive complication incidence. Understanding the factors affecting it can help preventive functions. Adequate evidence for this problem is necessary. The aim of this systematic review is to summarize evidence on severity of diabetic foot ulcer.Methods: A literature search was undertaken in Scopus, PubMed, Elsevier, MEDLINE, Embase, UpToDate and Google Scholar. Observational studies that assessed severity of DFU were included. The data extraction and assessment are on the basis of PRISMA.Results: Seven studies were assessed and 25 factors that affect severity of DFU are reported in the studies. The most used score for an estimate of severity was the Wagner scale (n=5). The majority of patients were in G1 and G2 stages (67.5%; basis of Wagner) or have a superficial ulcer (62.84%) on the basis of the Texas Diabetic Wound Classification System. The main factors include high BMI, smoking, lack of diabetes control, type of diabetes treatment and older age. In addition, there were other factors that affect severity of DFU such as vascular complications, bacteria isolated, marital status, gender, high levels of cholesterol and triglycerides. Also, life location, type 2 diabetes, genotype, addiction, long-time DFU and delay to refer patients were other factors.Conclusion: Twenty-five factors were reported. The majority of these factors related to life-style and can be prevented by self-care functions. The effect of these factors needs further study and the further studies must be better in quality.Keywords: diabetes, diabetic foot ulcer, severity
format	article
author	Jalilian M Ahmadi Sarbarzeh P Oubari S
author_facet	Jalilian M Ahmadi Sarbarzeh P Oubari S
author_sort	Jalilian M
title	Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review
title_short	Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review
title_full	Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review
title_fullStr	Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review
title_full_unstemmed	Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review
title_sort	factors related to severity of diabetic foot ulcer: a systematic review
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/25f74609cd944fb89ee0b1dedeaebe6e
work_keys_str_mv	AT jalilianm factorsrelatedtoseverityofdiabeticfootulcerasystematicreview AT ahmadisarbarzehp factorsrelatedtoseverityofdiabeticfootulcerasystematicreview AT oubaris factorsrelatedtoseverityofdiabeticfootulcerasystematicreview
_version_	1718398172832727040

Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review

Ejemplares similares