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Volume 13 Issue 2 (February) 2024

Original Articles

Assessing usefulness of PEDIS scoring in identifying the severity of diabetic foot ulcer and its management: An observational study
Ashutosh Kumar, Manish

Aim: To evaluate the usefulness of PEDIS scoring in identifying the severity of diabetic foot ulcer and its management. Methods: After receiving permission, individuals with diabetic foot ulcers below the malleolus level who presented to the hospital as either outpatients or inpatients were included in this prospective observational research. One hundred patients were enrolled and monitored for a duration of six months. Results: There were 66 males and 34 women out of 100. High white blood cell counts were found in 35% of people. WBC above 11,000/mm3 was considered high. The high random blood sugar cut-off was 140 mg/dl. In 68% of patients, random blood sugar was unusually high. 10 patients (10%) had osteomyelitis and positive probe-to-bone tests. Debridement improved outcomes for patients with scores under 7. Patients with scores over 4 and high random blood sugar and white cell count recovered slowly. We predicted diabetic foot complications using PEDIS scoring and factors like uncontrolled blood glucose, grossly increased white blood cell count, co-morbidities, and previous foot surgery. All factors including diabetic foot ulcer therapy had p values below 0.05 except conservative care. Conclusion: Based on the findings of our research, we have arrived at the conclusion that PEDIS scoring is beneficial in predicting complications in diabetic foot ulcers and the treatment of these ulcers.

 
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