Evaluation of foot ulcer risk in diabetic patients at a university hospital based on the risk categorization system of the International Consensus on the diabetic foot

DOI
  • Oe Makoto
    Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, University of Tokyo
  • Sanada Hiromi
    Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, University of Tokyo
  • Nagase Takashi
    Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, University of Tokyo
  • Ohashi Yumiko
    Department of Nursing, University of Tokyo Hospital
  • Ueki Kohjiro
    Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, University of Tokyo
  • Kadowaki Takashi
    Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, University of Tokyo

Bibliographic Information

Other Title
  • 一大学病院の糖尿病患者における足部の実態調査
  • ―インターナショナル・コンセンサスのリスク分類に基づいて―

Search this article

Abstract

<p>　While the importance of preventive care for diabetic foot ulcer（DFU）is recognized, there have been no reports to our knowledge detailing the specific preventive measures needed in Japan. Therefore, in this study we investigated neuropathy, angiopathy, foot deformity, history of DFU, non-ulcerative pathology and subjective symptoms in 579 diabetes patients who visited the diabetes department of a university hospital from September 2007 to March 2008. Risk was categorized based on the International Consensus on the diabetic foot, and patients’ preventive care needs such as regular inspection and examination, education, footwear, and treatment of non-ulcerative pathology were evaluated. The consultation rate at the Outpatient Foot Clinic and incidence of DFU were calculated from their medical records.<br>　The patients' risk categories were: 0（regular inspection and examination: once a year）, 72.5%; 1（once every 6 months）, 21.3%; 2（once every 3 months）, 5.7%; and 3（every month）, 0.5%. Adaptations for education, footwear, and treatment of non-ulcerative pathology were needed in 6.2%, 31.8%, and 3.6%, respectively. The rate of consultation at the Outpatient Foot Clinic was 16% and the incidence of DFU after 36 months was 0.6%. The prevalence of tinea infection erosion was 18.5%, 15.7% had calluses, 14.4% showed dryness and 52.3% experienced cramping. Among the patients with dryness/cracking as assessed by a healthcare provider, only 45.0% were aware of their symptom.<br>　Our results suggested that preventive care for DFU in Japan might be insufficient, because the consultation rate at the Outpatient Foot Clinic was low. More inspections by healthcare providers and preventive care for tinea infection, calluses and dryness are needed.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top