The predictive value of cumulative plantar tissue stress on future plantar foot ulceration in people with diabetes—A 12‐month prospective observational study
Authors' conclusion
CPTS did not predict plantar foot ulceration in our high-risk participants, but our findings support the mechanical pathway of plantar foot ulceration through pre-ulcer development and indicate lower walking speed as an important predictor. Assessing walking speed and early identifying and treating pre-ulcers will help predict and prevent plantar foot ulcers in high-risk people with diabetes.
Study context
- Population
- People with diabetes at high foot ulcer risk
- Participants
- 60 people
- Outcome
- Plantar foot ulceration
- Follow-up
- 12-month follow-up
Methodological details12-month follow-up
- 12-month follow-up
Main finding
As reported in the abstract
Developed a plantar forefoot ulcer
22
37%
Cumulative plantar tissue stress (CPTS) as predictor, OR
0.90 (0.50-1.59) (95% CI)
Pre-ulcers at baseline as predictor, OR
9.97 (1.41-70.65) (95% CI)
Walking speed (m/s) as predictor, OR
0.01 (0.00-0.32) (95% CI)
Observational data: associations, not effects.
Further findings
- CPTS associated with pre-ulcers, OR
- 2.38 (1.02-5.54) (95% CI)
- Significant association
Original publication
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