The New Prognostic-Therapeutic Index for Diabetic Foot Surgery - Extended AnalysisFlorin Bobircă, Octavian Mihalache, Dragoş Georgescu, Traian Pătraşcu
Original article, no. 2, 2016
Background: The disproportionate surgical indication in patients with diabetic foot, as well as the large number of major amputations of the pelvic limb have created the necessity of conceiving a therapeutic-prognostic index to guide the physician in establishing the adequate surgical indication. The aim of this analysis is to extend a former research published in 2014, regarding the new prognostic-therapeutic index used in the diabetic foot pathology, that included 929 patients. Methods: We have analyzed a number of 1221 patients, that were admitted at the Surgery Clinic of the Cantacuzino Hospital, between January 2013 and June 2015, suffering from diabetes mellitus and associating diabetic foot lesions. Results: The new therapeutic-prognostic index has been calculated for the retrospective lot, resulting into a concordance between the actual surgical intervention and the prognostic index of 79.4%; for the patients evaluated prospectively we have found a confirmation of the relation between the performed surgical intervention and the forecasted surgical intervention, of 86,8%. Conclusions: The new therapeutic-prognostic index is of a major usefulness in recommending an adequate therapeutic conduct correlated to the severity of the lesion, especially in facilities where the pathology of the diabetic foot is less known.