Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.The SIQ for this article wil be revealedonce 2 ratings are submited.peripheral arterial diseases, diabetic fot ulceration, foot ulcers, lower limb amputation, type-2 diabetes melitus Zahra Mansor, Ali Modaweb Published: July 25, 2022 (se history) DOI: 10.759/cureus.27245 Cite this article as: Mansor Z, Modaweb A (July 25, 2022) Predicting Amputation in Patients With Diabetic foot ulcers: A Systematic Review.
Key Information
Cureus 14(7): e27245. doi:10.759/cureus.27245 foot ulcers are a leading cause of morbidity in diabetics. One of the known complications of diabetic foot ulcers is lower limb amputation which makes it a major socioeconomic problem.
Curently, there’s a lack of knowledge on the predictors of amputations in diabetics with foot ulcers. We performed a systematic review of studies that identified risk factors of amputation in patients with diabetic foot ulcers. This systematic review aims to identify the predictors of amputation in order to optimize the management strategy and care plan.
Medline database was searched and inclusion criteria were implemented for the selection of studies. The risk factors extracted were part of four categories: (i) history and physical examination, (i) ulcer characteristics, (i) lab results, and (iv) co-morbidities. The data extracted were in the form of ods ratios, 95% confidence intervals, and predictive values.
Summary
The mean values with standard deviations of the included risk factors were recorded, and the incidence of risk factors among the amputation groups was identified or calculated when the data were suficient. Seven articles were selected reporting on 3481 patients. This review identified peripheral arterial disease, neuropathy, high Wagne