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Submitted: 28 December 2007 Modified: 30 August 2019
HERDIN Record #: PCHRD122807021258

Peripheral oxygenation and the Wagner diabetic foot classification: A correlational study .

Marco Paolo G. Lasam,
Emiliano B. Tablante

Forty patients seen at the Jose Reyes Memorial Hospital from June to October 2004 diagnosed to have diabetic foot ulcers were selected. Oxygen saturation was measured using a standard pulse oximeter (Nl80 NELLCOR Pulse Oximeter Portable Machine) being used in the operating room. All diabetic foot patients were classified using the Wagner Classification. Once patients were classified properly, oxygen saturation were measured from the patients' big toe using the pulse oximeter machine. There were a greater proportion of males (55 percent) than females (45 percent) with age ranges from 38 to 87 years with a mean of 59.15 years. Thirteen patients were classified under Wagner grade II, ten patients were classified under Wagner grade IV, eight patients for Wagner grade HI, five patients were under Wagner grade V and only four patients were classified under Wagner grade I. All patients were diagnosed to be suffering from type 2 diabetes mellitus and all were receiving insulin therapy with varying doses. The duration of the non-healing wound ranged from 1 -week to 1 year. The peripheral oxygen saturation levels of the big toe were recorded. Oxygen saturation values were measured to range from 0-99 percent percent saturation, with a mean of 68.28 percent. Patients classified under Wagner type I had an oxygen saturation levels ranging from 96 percent-99 percent, while patients under Wagner type II had oxygen saturation levels ranging from 89 percent-98 percent. Levels of oxygen saturation recorded from the patients under Wagner type III rangedfrom 85 percent- 93 percent, for Wagner type W levels rangedfrom 0 percent-71 percent, and while Wagner type V patients had oxygen saturation levels ranging from 0 percent-37 percent. Statistical correlation using the Scatter Point Diagram shows that there exists an inverse relationship between peripheral oxygen saturation and the Wagner classification.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Orthopaedics
Frequency
Annual
Publication Date
November 2006
Volume
25
Issue
1
Page(s)
47-51
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Abstract Print Format (Request Document)

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