The Application of Digital Frailty Screening to Triage Nonhealing and Complex Wounds
Authors' conclusion
Digital biomarkers of frailty may predict complexity of DFU and thus triage individuals who can be treated more simply in their primary clinic versus higher risk patients who require prompt referral to multidisciplinary, more complex care.
Study context
- Population
- Individuals with Grade 2 Wagner DFU, classified by Society for Vascular Surgery risk-stratification for major limb amputation
- Participants
- 38 individuals
- Exposure
- Frailty index across Society for Vascular Surgery amputation-risk stages of DFU
- Stage 1n = 19
- Stage 2n = 9
- Stage 3 to 4n = 10
- Outcome
- Frailty index (digital frailty meter; 0 to 1, higher = more frail)
Main finding
As reported in the abstract
d
1.4
P < 0.01
Stage 3 to 4 vs Stage 1
d
1.2
P < 0.01
Stage 3 to 4 vs Stage 2
Observational data: associations, not effects.
Further findings
Correlation of exhaustion (frailty phenotype) with skin perfusion pressure (SPP) and albumin
- Exhaustion vs SPP, r (P < .01)
- −0.63
- Exhaustion vs albumin, r (P < .01)
- −0.5
Original publication
The Application of Digital Frailty Screening to Triage Nonhealing and Complex Wounds. J Diabetes Sci Technol. Published 20 July 2022. doi:10.
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