Clinical outcomes of isolated lower extremity or foot burns in diabetic versus non-diabetic patients: A 10-year retrospective analysis

Kimball, Zachary; Patil, Sachin; Mansour, Hani E.; Marano, Michael A.; Petrone, Sylvia; Chamberlain, Ronald S.

doi:10.1016/j.burns.2012.06.006

Cited by 34 publications

(29 citation statements)

References 11 publications

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“…7,10 Hence, graft take rates compared with relatively healthy patients are distinctly lower. 8,10,11 In our patients, we could confirm that punctual bleeding after tangential excision was not very significant. Nevertheless, split-skin take was rather high when using TNP.…”

Section: Discussionsupporting

confidence: 74%

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Reduced Amputation Rate by Circular TNP Application on Split-Skin Grafts After Deep Dermal Foot Scalds in Insulin-Dependent Diabetic Patients

Kisch

Liodaki

Mauss

et al. 2015

Journal of Burn Care & Research

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The incidence of insulin-dependent diabetes mellitus (IDDM) is expected to increase significantly. Due to peripheral neuropathy and angiopathy in IDDM patients, feet scalding results in deep burn injuries. Regularly amputations are needed with tremendous consequences. In relatively healthy patients, split-skin graft (SSG) take is better when topical negative pressure (TNP) is applied. We compared the outcome of circular TNP dressing with that of antiseptic dressing on freshly laid SSG after tangential excision in IDDM patients with deep dermal foot scalds. Seventy patients admitted to a burn center with isolated foot burns were identified (2008-2013). Ten of them suffered from IDDM and presented with a deep dermal foot scald. After tangential excision and split-skin grafting, five of them were treated with TNP. The others received an antiseptic dressing regime. Differences were analyzed using either Chi-square or Student's t-test. Group comparison regarding age, gender, body mass index, HbA1c on arrival, glucose in serum, IDDM disease duration, and TBSA revealed no significant differences. But percentage of graft take was at a significantly higher rate in the TNP group (90.2 ± 4.017 vs 39 ± 15.362) and fewer operations had to be performed compared to the control group (2.0 ± 0.447 vs 4.6 ± 0.927). Due to reduced occurrence of necrosis, the number of amputations required was significantly lower in the TNP group. TNP application on freshly laid SSG following tangential excision in IDDM patients after deep dermal foot scalds minimized amputation rates and therefore is of great benefit for such patients.

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Section: Discussionsupporting

confidence: 74%

“…8,9 In addition, complications like wound infections are more common. 10 Therefore, diabetic patients with foot burns show a high rate of amputations. 8,9,11 It is known that topical negative pressure (TNP) dressings alias negative pressure wound therapy can increase graft take rate, even in burned patients.…”

Section: Introductionmentioning

confidence: 99%

Reduced Amputation Rate by Circular TNP Application on Split-Skin Grafts After Deep Dermal Foot Scalds in Insulin-Dependent Diabetic Patients

Kisch

Liodaki

Mauss

et al. 2015

Journal of Burn Care & Research

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“…These have included an increased rate of infection, skin graft failure, prolonged wound healing, and longer hospital stay (1–3). Kimball et al (2) focused solely on lower extremity burns in diabetic patients and found increased hospital admissions, increased admission to the intensive care unit, longer hospital stays, and an increased incidence of renal failure compared with nondiabetic controls. These studies have included the entire body or the entire lower extremity.…”

Section: Introductionmentioning

confidence: 99%

Reamputation after Minor Foot Amputation in Diabetic Patients: Risk Factors Leading to Limb Loss

Nerone

Springer

Woodruff

et al. 2013

The Journal of Foot and Ankle Surgery

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Burn injury in diabetic patients has been a recent topic of interest in published studies. Previous studies have shown increased complications in diabetic patients compared with nondiabetic controls who have sustained these injuries. A paucity of research has been devoted to foot-specific diabetic burn injury. We present a case series evaluating the mechanisms and complications of diabetic foot burns.

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“…They found that the majority of lower extremity burns resulted from intentional exposure to heat sources. These patients also showed increased morbidity and mortality [ 56 ]. The presence of diabetes and peripheral neuropathy is thought to hamper these p atients' ability to detect injuries, and they can lead to a more complicated hospital course.…”

Section: Patients and Complicationsmentioning

confidence: 97%

Epidemiology of Burn Injuries and Burn Care

Maximus

Joe

2016

Burn Care for General Surgeons and General Practitioners

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Clinical outcomes of isolated lower extremity or foot burns in diabetic versus non-diabetic patients: A 10-year retrospective analysis

Cited by 34 publications

References 11 publications

Reduced Amputation Rate by Circular TNP Application on Split-Skin Grafts After Deep Dermal Foot Scalds in Insulin-Dependent Diabetic Patients

Reduced Amputation Rate by Circular TNP Application on Split-Skin Grafts After Deep Dermal Foot Scalds in Insulin-Dependent Diabetic Patients

Reamputation after Minor Foot Amputation in Diabetic Patients: Risk Factors Leading to Limb Loss

Epidemiology of Burn Injuries and Burn Care

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