Fernández-Torres Raúl, Ruiz-Muñoz María, Pérez-Panero Alberto J, García-Romero Jerónimo, Gónzalez-Sánchez Manuel
Department of Nursing and Podiatry, Arquitecto Francisco Peñalosa, s/n, Ampliación campus de Teatinos, University of Málaga, 29071 Málaga, Spain.
Medical School of the Physical Education and Sports, C/ Jiménez Fraud 10, Edificio López de Peñalver, University of Málaga, 29010 Málaga, Spain.
J Clin Med. 2020 Feb 24;9(2):602. doi: 10.3390/jcm9020602.
Diabetic foot is the most frequent disorder among the chronic complications of diabetes, happening in 25% of patients. Objective clinical outcome measures are tests or clinical instruments that provide objective values for result measurement. The aim of this study was to carry out a systematic review of specific objective clinical outcome measures focused on the assessment and monitoring of diabetic foot disorders. The databases used were PubMed, CINAHL, Scopus, PEDro, Cochrane, SciELO and EMBASE. Search terms used were foot, ankle, diabet*, diabetic foot, assessment, tools, instruments, objective outcome measures, valid*, reliab*. Because of the current published evidence, diabetic neuropathy assessment via sudomotor analysis, cardiovascular autonomic neuropathy and peripheral vascular disease detection by non-invasive electronic devices, wound 3D dimensional measurement, hyperspectral imaging for ulcer prediction and the probe-to-bone test for osteomyelitis diagnosis were highlighted in this study.
糖尿病足是糖尿病慢性并发症中最常见的病症，发生率为25%。客观临床结局指标是为结果测量提供客观值的测试或临床工具。本研究的目的是对专注于糖尿病足病症评估和监测的特定客观临床结局指标进行系统评价。所使用的数据库有PubMed、CINAHL、Scopus、PEDro、Cochrane、SciELO和EMBASE。使用的检索词为足部、踝关节、糖尿病*、糖尿病足、评估、工具、器械、客观结局指标、有效*、可靠*。鉴于当前已发表的证据，本研究重点介绍了通过汗腺运动分析评估糖尿病神经病变、利用非侵入性电子设备检测心血管自主神经病变和外周血管疾病、伤口三维测量以及用于溃疡预测的高光谱成像和用于骨髓炎诊断的探针触骨试验。
