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Performance of non-invasive bedside vascular testing in the prediction of wound healing or amputation among people with foot ulcers in diabetes: A systematic review.

Vivienne H ChuterNicolaas C SchaperRobert J HinchliffeJoseph L MillsNobuyoshi AzumaChristian-Alexander BehrendtEdward J BoykoMichael S ConteMisty HumphriesLee KirkseyKatharine C McGinigleSigrid NikolJoakim NordanstigVincent RoweRussell DavidJos C van den BergMaarit VenermoRobert Fitridge
Published in: Diabetes/metabolism research and reviews (2023)
≥25 mmHg, and skin perfusion pressure of ≥40 mmHg are associated with a moderate to large increase in pretest probability of healing in people with DFU. There are little data available evaluating the prognostic capacity of bedside testing for healing after minor amputation or for major amputation in people with DFU. Current evidence suggests that an ABI <0.4 may be associated with a large increase in risk of major amputation. The findings of this systematic review need to be interpreted in the context of limitations of available evidence, including varying rates of revascularisation, lack of post-revascularisation bedside testing, and heterogenous subpopulations.
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