Prognostic value of ankle-brachial index combined with Wagner scale in diabetic foot
10.3969/j.issn.1006-6187.2025.08.006
- VernacularTitle:踝肱指数联合Wagner分级预测糖尿病足预后应用价值的研究
- Author:
Song MA
1
;
Haiyan MA
;
Bin CHEN
;
Wei ZHANG
;
Mingtai YU
;
Shenfeng JING
Author Information
1. 250200 济南,章丘区人民医院手足外科
- Publication Type:Journal Article
- Keywords:
Diabetic foot;
Wagner grading system;
Ankle-brachial index;
Prognosis
- From:
Chinese Journal of Diabetes
2025;33(8):587-591
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application value of ankle-brachial index(ABI)combined with Wagner scale in the prognosis assessment in patients with diabetic foot(DF).Methods A total of 120 patients with DF were enrolled in this study from in our hospital from June 2020 to December 2021.All the patients were divided into good prognosis group(n=92)and poor prognosis group(n=28)according to the prognosis after 6 months.The ABI and related clinical indicators were compared between the two groups.Logistic regression analysis and receiver operating characteristic(ROC)curve were used to analyze the prognostic value of each index in patients with DF.Results The DF duration,HbA1c,white blood cell count,Wagner grade 3 to 5,antibiotic type≥3,defibration times≥3 were higher in the poor prognosis group than in the good prognosis group(P<0.05),while the albumin,TG,ABI,hemoglobin and revasectomy rates were lower in the poor prognosis group than in the good prognosis group(P<0.05).Logistic regression analysis showed that HbA1c(OR 3.232,95%CI 1.063～9.830),ABI(OR 0.150,95%CI 0.038～0.588),Wagner grading(OR 5.032,95%CI 1.258～20.128)were the prognostic factor for patients with DF.The driving equation was established:Logit(P)=1.908×Wagner grading-1.978×ABI-1.945.ROC curve analysis showed that the area under the curve(0.897)of driving equation was higher than ABI(0.754)and Wagner grading(0.810)(P<0.05)in predicting poor prognosis in patients with DF.Conclusions ABI and Wagner grading are both factors affecting the poor prognosis of patients with DF,and ABI combined with Wagner grading is more effective in predicting the prognosis of patients with DF.
