Validation of the Infectious Diseases Society of America's diabetic foot infection classification system.
In this longitudinal study of 1666 persons with diabetes, there was an observed trend toward an increased risk for amputation (chi(2) test for trend, 108.0; P<.001), higher-level amputation (chi(2) test for trend, 113.3; P<.001), and lower extremity-related hospitalization (chi(2) test for trend, 118.6; P<.001) with increasing infection severity. The Infectious Diseases Society of America's foot infection classification system may be a useful tool for grading foot infections.
Lavery
Lawrence A
LA
Department of Surgery, Scott and White Hospital, Texas A&M University Health Science Center College of Medicine, Temple, Texas, USA. llavery@swmail.sw.org
Armstrong
David G
DG
Murdoch
Douglas P
DP
Peters
Edgar J G
EJ
Lipsky
Benjamin A
BA
D017677:Age Distribution; D000368:Aged; D000671:Amputation, Surgical / Q000706:statistics & numerical data; D001424:Bacterial Infections / Q000145:classification* / Q000453:epidemiology* / Q000601:surgery; D003141:Communicable Diseases; D017719:Diabetic Foot / Q000145:classification* / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011336:Probability; D011379:Prognosis; D011446:Prospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D017678:Sex Distribution; D012955:Societies, Medical; D014946:Wound Infection / Q000382:microbiology