Clinical utility of skin perfusion pressure measurement in diabetic foot wounds: An observational study

The degree of blood vessel stenosis significantly influences diabetic foot treatment. This study aimed to investigate the association between computed tomography angiography (CTA) stenosis and skin perfusion pressure (SPP), which are noninvasive vascular assessments used to evaluate diabetic foot wo...

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Veröffentlicht in:Medicine (Baltimore) 2022-09, Vol.101 (36), p.e30454-e30454
Hauptverfasser: Kim, Hak Jun, Kim, Woo Jong, Lee, Hong Seop, Koh, Yeong Yoon, Shin, Young Bin, Yeo, Eui Dong
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container_issue 36
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container_title Medicine (Baltimore)
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creator Kim, Hak Jun
Kim, Woo Jong
Lee, Hong Seop
Koh, Yeong Yoon
Shin, Young Bin
Yeo, Eui Dong
description The degree of blood vessel stenosis significantly influences diabetic foot treatment. This study aimed to investigate the association between computed tomography angiography (CTA) stenosis and skin perfusion pressure (SPP), which are noninvasive vascular assessments used to evaluate diabetic foot wounds. Forty patients who reported diabetic foot wounds between November 2016 and December 2017 were included in the study. SPPand CTA were performed to evaluate the blood flow, and the rate of decrease in wound size was measured for the wounds corresponding to Meggitt–Wagner grade 1 at the first evaluation and 4-week intervals. The P value of the association between the degree of CTA stenosis and the SPP value was 0.915, and the P value of the association between CTA stenosis and decreasing rate of wound size was .235. There was no statistically significant association between SPP and the decreasing rate of wound size according to the degree of CTA stenosis. The association between SPP value and the decreasing rate of wound size was statistically significant ( P < .05). The decreasing rate in diabetic foot wound size was significantly associated with SPP but not with CTA stenosis.
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This study aimed to investigate the association between computed tomography angiography (CTA) stenosis and skin perfusion pressure (SPP), which are noninvasive vascular assessments used to evaluate diabetic foot wounds. Forty patients who reported diabetic foot wounds between November 2016 and December 2017 were included in the study. SPPand CTA were performed to evaluate the blood flow, and the rate of decrease in wound size was measured for the wounds corresponding to Meggitt–Wagner grade 1 at the first evaluation and 4-week intervals. The P value of the association between the degree of CTA stenosis and the SPP value was 0.915, and the P value of the association between CTA stenosis and decreasing rate of wound size was .235. There was no statistically significant association between SPP and the decreasing rate of wound size according to the degree of CTA stenosis. The association between SPP value and the decreasing rate of wound size was statistically significant ( P &lt; .05). 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source Wolters Kluwer Open Health; MEDLINE; DOAJ Directory of Open Access Journals; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Computed Tomography Angiography
Constriction, Pathologic
Diabetes Mellitus
Diabetic Foot - therapy
Humans
Perfusion
Skin - diagnostic imaging
title Clinical utility of skin perfusion pressure measurement in diabetic foot wounds: An observational study
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