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Academic literature on the topic 'Wagner-Meggitt Classification System'
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Journal articles on the topic "Wagner-Meggitt Classification System"
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Jørgensen, Tue Smith, Ylva Hellsten, Hans Gottlieb, and Stig Brorson. "Assessment of diabetic foot ulcers based on pictorial material: an interobserver study." Journal of Wound Care 29, no. 11 (2020): 658–63. http://dx.doi.org/10.12968/jowc.2020.29.11.658.
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Objective: The frequent change in clinicians, and the emerging use of photographic documentation in wound management, could require a more diverse treatment of patients due to poor interobserver agreement. The aim of this study was to assess the interobserver agreement of a commonly used classification system for diabetic foot ulcers (DFUs), the Meggitt–Wagner classification, and to compare the agreement on classification with the agreement in treatment recommendations. Method: An interobserver study was conducted based on a questionnaire linked to 30 photographs of DFUs. Different groups of observers were tested to investigate whether there was a difference between professions or level of education: experienced orthopaedic wound care doctors (n=7); nurses specialised in wound care (n=8) and untrained nurses assigned to a diabetic wound care training course (n=23). Krippendorff's alpha was used to calculate interobserver agreement, and an agreement of >0.67 was defined as substantial. Results: The Krippendorff's alpha value for interobserver agreement on the Meggitt–Wagner classification was 0.52 for the doctors group, 0.67 for the specialised nurses and 0.61 for the untrained nurses. The corresponding values regarding agreement on recommendation of surgical revision of the wound were 0.35, 0.22 and 0.15, respectively. The choice of dressing type or antibiotic treatment had even lower interobserver agreement. Conclusions: The interobserver agreement on the Meggitt–Wagner classification was substantial in the specialised nurse group, but the evaluation and treatment of DFUs should not be exclusively based on pictorial materials.
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Kalburgi, Eshwar B., Yamanur P. Lamani, Bheemanagouda V. Goudar, Bheemappa K. Bhavi, Mohammed A. Kharkazi, and Siddarth Aggarwal. "A retrospective study of management of diabetic foot ulcer in tertiary care hospital in North Karnataka." International Surgery Journal 4, no. 2 (2017): 623. http://dx.doi.org/10.18203/2349-2902.isj20170203.
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Background: Foot ulcers and amputations are a major cause of morbidity as well as emotional and physical disability for people with diabetes. A cumulative life time incidence of diabetic foot ulcer (DFU) is as high as fifteen percent making it a leading cause of non-traumatic amputations worldwide. The objective of the study was to assess the outcome of diabetic foot ulcer based on Meggitt-Wagner classification system.Methods: It was a retrospective review of 130 patients with diabetic foot ulcer managed at a tertiary care teaching hospital from January 2010-August 2016 in Bagalkot, North Karnataka, India.Results: In this study most of the patients were in the age group of 51-60 years, most of them being male 85%, 49.23% of patients with ulcers were over the plantar aspect of the foot and 40% of ulcers were Grade 2. 11.53% of patients required disarticulation of toes. 3.07% of patients required below knee amputation and 2.30% of patients require above knee amputations. 42.30% of the patients had peripheral neuropathy and 12.30% of the patients had associated peripheral arterial disease.Conclusions: Even though Meggitt-Wagner classification system is considered Gold Standard it has many disadvantages. The neuropathic changes, charcoats osteoarthropathy and associated vascular pathology has not taken into consideration, hence the outcome of the ulcer cannot be predicted.
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Niță, Otilia, Lidia Iuliana Arhire, Laura Mihalache, et al. "Evaluating Classification Systems of Diabetic Foot Ulcer Severity: A 12-Year Retrospective Study on Factors Impacting Survival." Healthcare 11, no. 14 (2023): 2077. http://dx.doi.org/10.3390/healthcare11142077.
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(1) Background: This study examines the survival of patients after their first presentation with diabetic foot ulcers (DFUs) to the regional Diabetes, Nutrition, and Metabolic Diseases Clinic within the Emergency Clinical Hospital “Sf. Spiridon”, Iaşi, and analyzes the factors associated with this outcome. (2) Methods: In this retrospective study, patients with DFUs consecutively referred between 1 January 2007 and 31 December 2017 were followed up until 31 December 2020 (for 13 years). The study group included 659 subjects. (3) Results: During the study period, there were 278 deaths (42.2%) and the average survival time was 9 years. The length of hospitalization, diabetic nephropathy, chronic kidney disease, glomerular filtration rate, cardiovascular disease, hypertension, anemia, and DFU severity were the most significant contributors to the increase in mortality. Patients with severe ulcers, meaning DFUs involving the tendon, joint, or bone, had a higher mortality risk than those with superficial or pre-ulcerative lesions on initial presentation (Texas classification HR = 1.963, 95% CI: 1.063–3.617; Wagner–Meggitt classification HR = 1.889, 95% CI: 1.024–3.417, SINBAD Classification System and Score HR = 2.333, 95% CI: 1.258–4.326) after adjusting for confounding factors. (4) Conclusions: The findings of this study suggested that patients presenting with severe ulcers involving the tendon, joint, or bone exhibited a significantly higher risk of mortality, even when potential confounders were taken into consideration.
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Álvarez-Rodríguez, Ignacio I., Eduardo Castaño-Tostado, David G. García-Gutiérrez, et al. "Non-Targeted Metabolomic Analysis Reveals Serum Phospholipid Alterations in Patients with Early Stages of Diabetic Foot Ulcer." Biomarker Insights 15 (January 2020): 117727192095482. http://dx.doi.org/10.1177/1177271920954828.
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Diabetic foot ulcer (DFU) is a common complication of type 2 diabetes mellitus (T2DM) characterized by ulcer formation, which can lead to the amputation of lower extremities. However, the metabolic alterations related to this complication are not completely elucidated. Therefore, we carried out a metabolomic analysis of serum samples obtained from T2DM adult patients diagnosed with diabetic foot ulcer in a cross-sectional, observational, and comparative study. Eighty-four volunteers were classified into the following groups: without T2DM (control group, n = 30) and with T2DM and different stages of diabetic foot ulcer according to Wagner-Meggitt classification system: DFU G0 (n = 11), DFU G1 (n = 14), DFU G2 (n = 16), and DFU G3 (n = 13). The non-target metabolomic profile followed by chemometric analysis revealed that lysophosphatidylethanolamine (16:1) could be proposed as key metabolite related to the onset of diabetic foot ulcer; however, this phospholipid was not affected by diabetic foot ulcer progression. Therefore, further studies are necessary to validate these phospholipids as biomarker candidates for the early diagnosis of diabetic foot ulcer in T2DM patients.
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Popa, Alina Delia, Radu Sebastian Gavril, Iolanda Valentina Popa, et al. "Survival Prediction in Diabetic Foot Ulcers: A Machine Learning Approach." Journal of Clinical Medicine 12, no. 18 (2023): 5816. http://dx.doi.org/10.3390/jcm12185816.
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Our paper proposes the first machine learning model to predict long-term mortality in patients with diabetic foot ulcers (DFUs). The study includes 635 patients with DFUs admitted from January 2007 to December 2017, with a follow-up period extending until December 2020. Two multilayer perceptron (MLP) classifiers were developed. The first MLP model was developed to predict whether the patient will die in the next 5 years after the current hospitalization. The second MLP classifier was built to estimate whether the patient will die in the following 10 years. The 5-year and 10-year mortality models were based on the following predictors: age; the University of Texas Staging System for Diabetic Foot Ulcers score; the Wagner–Meggitt classification; the Saint Elian Wound Score System; glomerular filtration rate; topographic aspects and the depth of the lesion; and the presence of foot ischemia, cardiovascular disease, diabetic nephropathy, and hypertension. The accuracy for the 5-year and 10-year models was 0.7717 and 0.7598, respectively (for the training set) and 0.7244 and 0.7087, respectively (for the test set). Our findings indicate that it is possible to predict with good accuracy the risk of death in patients with DFUs using non-invasive and low-cost predictors.
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Queg, Marvin, and Josephine De Leon. "Effectiveness of topical oxygen therapy in wound healing for patients with diabetic foot ulcer." Frontiers of Nursing 10, no. 1 (2023): 85–93. http://dx.doi.org/10.2478/fon-2023-0010.
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Abstract Objectives: Non-healing wounds have been one of the major challenges in health care because of increased morbidity, especially for those who have diabetes mellitus. Numerous regimens are being innovated to produce an evidence-based practice that would minimize complications and promote healing. Topical oxygen therapy is an innovation in wound care that has been considered influential in the wound healing process. This intervention aims to increase the oxygen concentration in the affected limb to promote wound healing. Methods: This research applied an experimental design that targeted a total of 60 adult patients aged 45–64 years with diabetic foot ulcers. A randomized systematic sampling technique was used to allow equal chances and prevent bias. In total, 30 patients in the control group received usual care for diabetic foot ulcers, and the remaining 30 patients in the experimental group received topical oxygen therapy together with standard care for diabetic foot ulcers. Subjects were assessed using the Wagner-Meggitt Wound Classification System. Results: The result proved that there was a significant difference in the wound grade of patients in the experimental group after the application of the usual wound care plus the topical oxygen therapy using Friedman’s test. The control and experimental groups were compared using Mann–Whitney statistical analyses, and the results showed that there was a significant difference between the control and experimental groups after the application of topical oxygen therapy. Conclusions: Topical oxygen therapy was demonstrated to be effective to aid in the wound healing process of patients with diabetic foot ulcers. Further research was recommended to improve the application of topical oxygen therapy to patients with chronic wounds and promote the wound healing process.
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Santema, Trientje B., Ellie A. Lenselink, Ron Balm, and Dirk T. Ubbink. "Comparing the Meggitt-Wagner and the University of Texas wound classification systems for diabetic foot ulcers: inter-observer analyses." International Wound Journal 13, no. 6 (2015): 1137–41. http://dx.doi.org/10.1111/iwj.12429.
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Francis, Daris, K. Kotteswaran, and Pramod P. V. "Prevalence of Diabetic Foot Ulcers among People with Diabetes Mellitus." INTI Journal 2023, no. 1 (2023). http://dx.doi.org/10.61453/intij.202341.
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Introduction: With 8.6% prevalence, India tops the list in terms of the burden of diabetes. A major complication of diabetes mellitus is diabetic foot ulcer, which affects type 2 diabetes more frequently. This study's objective was to determine the prevalence and risk variables that contribute to the development of diabetic foot ulcers. Method: A hospital-based cross-sectional survey was conducted with 108 type 2 diabetic patients who were chosen from the outpatient department of a major diabetic care facility. The socio-demographic data was gathered. The clinical biochemistry lab attached to the hospital performed the measurements of biochemical variables. The Wagner Meggitt Classification was used to stage each patient's diabetic foot. Results: Prevalence of Diabetic Foot Ulcer was 10.2%. Grade III was the most prevalent stage of presentation, followed by Grade IV according to classification system by Wagner Meggitt. No significant correlation between the DFU group and other metabolic parameters such hypertension, retinopathy, neuropathy, HbA1c, cholesterol, HDL, and LDL were discovered. Conclusions: There were 10.2% of diabetic individuals presented with foot ulcers. Diabetes related foot ulcers were more common in males with an average age of 56.08± 0.69 years.
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Shabhay, Ahmed, Pius Horumpende, Zarina Shabhay, et al. "Clinical profiles of diabetic foot ulcer patients undergoing major limb amputation at a tertiary care center in North-eastern Tanzania." BMC Surgery 21, no. 1 (2021). http://dx.doi.org/10.1186/s12893-021-01051-3.
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Abstract Background Diabetic foot ulcers complications are the major cause of non-traumatic major limb amputation. We aimed at assessing the clinical profiles of diabetic foot ulcer patients undergoing major limb amputation in the Surgical Department at Kilimanjaro Christian Medical Centre (KCMC), a tertiary care hospital in North-eastern Tanzania. Methods A cross—sectional hospital-based study was conducted from September 2018 through March 2019. Demographic data were obtained from structured questionnaires. Diabetic foot ulcers were graded according to the Meggitt-Wagner classification system. Hemoglobin and random blood glucose levels data were retrieved from patients’ files. Results A total of 60 patients were recruited in the study. More than half (31/60; 51.67%) were amputated. Thirty-five (58.33%) were males. Fifty-nine (98.33%) had type II diabetes. Nearly two-thirds (34/60; 56.67%) had duration of diabetes for more than 5 years. The mean age was 60.06 ± 11.33 years (range 30–87). The mean haemoglobin level was 10.20 ± 2.73 g/dl and 9.84 ± 2.69 g/dl among amputees. Nearly two thirds (42/60; 70.00%) had a haemoglobin level below 12 g/dl, with more than a half (23/42; 54.76%) undergoing major limb amputation. Two thirds (23/31; 74.19%) of all patients who underwent major limb amputation had mean hemoglobin level below 12 g/dl. The mean Random Blood Glucose (MRBG) was 13.18 ± 6.17 mmol/L and 14.16 ± 6.10 mmol/L for amputees. Almost two thirds of the study population i.e., 42/60(70.00%) had poor glycemic control with random blood glucose level above 10.0 mmol/L. More than half 23/42 (54.76%) of the patients with poor glycemic control underwent some form of major limb amputation; which is nearly two thirds (23/31; 74.19%) of the total amputees. Twenty-eight (46.67%) had Meggitt-Wagner classification grade 3, of which nearly two thirds (17:60.71%) underwent major limb amputation. Conclusion In this study, the cohort of patients suffering from diabetic foot ulcers treated in a tertiary care center in north-eastern Tanzania, the likelihood of amputation significantly correlated with the initial grade of the Meggit-Wagner ulcer classification. High blood glucose levels and anaemia seem to be also important risk factors but correlation did not reveal statistical significance.
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Aligeti, Lokesh, Manohar Reddy Ekkelli, Madhuri Ekkurthi, Srimaneesh Illutam, Rajeswari B. Raja, and P. Archana. "Assessment of Contributing Factors and Wound Severity in Diabetic Foot Ulcer - A Prospective Study." July 15, 2022. https://doi.org/10.26452/ijcpms.v2i3.319.
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The study aims to assess the factors contributing to the development of Diabetic Foot Ulcer (DFU) and wound severity of ulcer in DFU, and also to assess the type of dressing used and provide relevant patient care education to patient with DFU. It is a prospective observational study conducted for 6 months, from November 2021 to April 2022 in the in-patient and out-patient facility of the surgery Department at ESIC Hospital, Nacharam, Hyderabad, Telangana in India. A total of 103 subjects were included in the study. The contributing factors of DFU and wound severity were assessed by Wagner-Meggitt classification system. This study concluded that along with hyperglycemia, hypertension (55.33%), traumas (33%) are the leading risk factors for DFU. The highest number of patients falls under moderate numbness. Various types of dressing used in different severity grade patients was assessed and was found that highest type of dressing used was saline dressing. Based on wound severity specific counselling points were provided to the patient to progress the wound healing process. Counselling regarding diabetic diet and lifestyle modification was provided based on the GRBS (Glycemic index) of the patients.