Predictors of Diabetic Foot Reulceration beneath the Hallux

To evaluate the factors that predict reulceration beneath the hallux in people with a history of diabetic foot ulceration. Methods. A prospective study conducted between January 2012 and December 2014 was performed in a diabetic foot unit toassess the risk factors associated with hallux reulceration...

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Autores: Molines Barroso, Raúl Juan, Lázaro Martínez, José Luis, Beneit Montesinos, Juan Vicente, Álvaro Afonso, Francisco Javier, García Morales, Esther Alicia, García Álvarez, Yolanda
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/124389
Acceso en línea:https://hdl.handle.net/20.500.14352/124389
Access Level:acceso abierto
Palabra clave:616.718.7/.9
616.379-008.64-056.24
Ciencias Biomédicas
Podología
3299 Otras Especialidades Médicas
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oai_identifier_str oai:docta.ucm.es:20.500.14352/124389
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repository_id_str
spelling Predictors of Diabetic Foot Reulceration beneath the HalluxMolines Barroso, Raúl JuanLázaro Martínez, José LuisBeneit Montesinos, Juan VicenteÁlvaro Afonso, Francisco JavierGarcía Morales, Esther AliciaGarcía Álvarez, Yolanda616.718.7/.9616.379-008.64-056.24Ciencias BiomédicasPodología3299 Otras Especialidades MédicasTo evaluate the factors that predict reulceration beneath the hallux in people with a history of diabetic foot ulceration. Methods. A prospective study conducted between January 2012 and December 2014 was performed in a diabetic foot unit toassess the risk factors associated with hallux reulceration. Sixty patients with diabetic neuropathy and a history of previous ulcerwere consecutively included. Sociodemographic factors and comorbidities plus the biomechanical and radiographic factors wereobtained. Follow-up on participants was conducted every month, and they wore offloading therapeutic footwear andcustom-made insoles. Hallux reulceration during the follow-up period was assessed as the main outcome measure in the study.Results. Patients were followed up during 29 (14.2-64.4) months. Twenty-nine patients (52%) developed a new ulceration: 9patients (31%) in the hallux and 20 (69%) in other locations. Functional hallux limitus (p = 0 005, 95% CI (2.097–73.128), HR12.384) and increased body mass index (p = 0 044, 95% CI (1.003-1.272), HR 1.129) were associated with the halluxulceration-free survival time in the multivariate Cox model. Conclusions. Obesity and the presence of functional hallux limitusincrease the probability of developing hallux reulceration in patients with diabetic neuropathy and a history of ulcers.HindawiUniversidad Complutense de Madrid20192019-01-0820192019-01-08journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/124389reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1243892026-06-02T12:44:21Z
dc.title.none.fl_str_mv Predictors of Diabetic Foot Reulceration beneath the Hallux
title Predictors of Diabetic Foot Reulceration beneath the Hallux
spellingShingle Predictors of Diabetic Foot Reulceration beneath the Hallux
Molines Barroso, Raúl Juan
616.718.7/.9
616.379-008.64-056.24
Ciencias Biomédicas
Podología
3299 Otras Especialidades Médicas
title_short Predictors of Diabetic Foot Reulceration beneath the Hallux
title_full Predictors of Diabetic Foot Reulceration beneath the Hallux
title_fullStr Predictors of Diabetic Foot Reulceration beneath the Hallux
title_full_unstemmed Predictors of Diabetic Foot Reulceration beneath the Hallux
title_sort Predictors of Diabetic Foot Reulceration beneath the Hallux
dc.creator.none.fl_str_mv Molines Barroso, Raúl Juan
Lázaro Martínez, José Luis
Beneit Montesinos, Juan Vicente
Álvaro Afonso, Francisco Javier
García Morales, Esther Alicia
García Álvarez, Yolanda
author Molines Barroso, Raúl Juan
author_facet Molines Barroso, Raúl Juan
Lázaro Martínez, José Luis
Beneit Montesinos, Juan Vicente
Álvaro Afonso, Francisco Javier
García Morales, Esther Alicia
García Álvarez, Yolanda
author_role author
author2 Lázaro Martínez, José Luis
Beneit Montesinos, Juan Vicente
Álvaro Afonso, Francisco Javier
García Morales, Esther Alicia
García Álvarez, Yolanda
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.718.7/.9
616.379-008.64-056.24
Ciencias Biomédicas
Podología
3299 Otras Especialidades Médicas
topic 616.718.7/.9
616.379-008.64-056.24
Ciencias Biomédicas
Podología
3299 Otras Especialidades Médicas
description To evaluate the factors that predict reulceration beneath the hallux in people with a history of diabetic foot ulceration. Methods. A prospective study conducted between January 2012 and December 2014 was performed in a diabetic foot unit toassess the risk factors associated with hallux reulceration. Sixty patients with diabetic neuropathy and a history of previous ulcerwere consecutively included. Sociodemographic factors and comorbidities plus the biomechanical and radiographic factors wereobtained. Follow-up on participants was conducted every month, and they wore offloading therapeutic footwear andcustom-made insoles. Hallux reulceration during the follow-up period was assessed as the main outcome measure in the study.Results. Patients were followed up during 29 (14.2-64.4) months. Twenty-nine patients (52%) developed a new ulceration: 9patients (31%) in the hallux and 20 (69%) in other locations. Functional hallux limitus (p = 0 005, 95% CI (2.097–73.128), HR12.384) and increased body mass index (p = 0 044, 95% CI (1.003-1.272), HR 1.129) were associated with the halluxulceration-free survival time in the multivariate Cox model. Conclusions. Obesity and the presence of functional hallux limitusincrease the probability of developing hallux reulceration in patients with diabetic neuropathy and a history of ulcers.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-01-08
2019
2019-01-08
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/124389
url https://hdl.handle.net/20.500.14352/124389
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hindawi
publisher.none.fl_str_mv Hindawi
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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