The Prediction of Diabetic Neuropathic Foot Ulceration using Vibration Perception Thresholds - A Prospective-Study

Young, Matthew J. and Breddy, John L. and Veves, Aristidis and Boulton, Andrew J. M. (1994) The Prediction of Diabetic Neuropathic Foot Ulceration using Vibration Perception Thresholds - A Prospective-Study. Diabetes Care, 17 (6). pp. 557-560. ISSN 0149-5992. (The full text of this publication is not available from this repository)

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Abstract

OBJECTIVE - To assess the ability of vibration perception threshold (VPT) to predict the development of diabetic foot ulceration. RESEARCH DESIGN AND METHODS - A prospective follow-up study of consecutive patients with vibration perception measured by biothesiometry from April 1988 to March 1989. Patients were stratified in various risk groups. RESULTS - Patients with a VPT <15 V had a cumulative incidence of foot ulceration of 2.9% compared with 19.8% in patients with a VPT >25 V, odds ratio (OR) 7.99 (3.65-17.5, 95% confidence intervals), P < 0.01. The incidence of ulceration increased with duration of diabetes, but even with this effect removed, the excess of ulceration persisted, OR 6.82 (2.75-16.92), P < 0.01. CONCLUSIONS - VPT is an effective predictor of the risk of foot ulceration in diabetes and therefore could be used to target foot-care education to those patients most likely to benefit and, thereby, possibly improve its effectiveness.

Item Type: Article
Uncontrolled keywords: VPT, VIBRATION PERCEPTION THRESHOLD; OR, ODDS RATIO; CI, CONFIDENCE INTERVAL; PVD, PERIPHERAL VASCULAR DISEASE
Subjects: Q Science > Q Science (General)
Divisions: Faculties > Science Technology and Medical Studies > School of Biosciences
Depositing User: P. Ogbuji
Date Deposited: 09 Jun 2009 10:41
Last Modified: 26 Jun 2014 14:02
Resource URI: http://kar.kent.ac.uk/id/eprint/20125 (The current URI for this page, for reference purposes)
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