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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(6):752-758.
Foot Screening Tests with Semmes-Weinstein Monofilament in Diabetic Inpatients.
Kim, Yoon Tae , Kim, Il Soo , Hwang, Inn Seek
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea. drkt@cmc.cuk.ac.kr
당뇨 입원환자에서 Semmes-Weinstein Monofilament를 이용한 족부 선별검사
김윤태·김일수·황인식
가톨릭대학교 의과대학 재활의학교실
Abstract
Objective
To determine the prevalence of each risk category for diabetic foot ulcer by foot screening test with Semmes-Weinstein monofilament and to evaluate the correlation of the risk category with clinical data in diabetic inpatients.
Method
Foot screening tests with Semmes-Weinstein monofilament was performed in 90 diabetic inpatients to determined the risk category for diabetic foot ulcer. An average age of patients was 55 years, and an average duration of the disease was 11 years. The correlation of risk category was evaluated with age, duration of the disease, FBS (fasting blood glucose) level, HbA1c value, and complications of diabetes including retinopathy, peripheral polyneuropathy, and renal failure.
Results
Patients with risk category 0 had no loss of protective sensation in 34.4% of cases. Patients with risk category 1, 2, and 3 had loss of protective sensation in 16.7%, 28.9% and 20% of cases, respectively. The older a patient was and the longer the duration of the disease was, the higher the risk category was significantly (p<0.05). There was no significant correlation of risk category with FBS level and HbA1c value. Among the complications associated with diabetes, retinopathy and peripheral polyneuropathy significantly correlated with risk category (p<0.05), but renal failure was not significantly associated.
Conclusion
The foot screening test with Semmes-Weinstein monofilament should be helpful for proper management of diabetic foot in inpatient. (J Korean Acad Rehab Med 2002; 26: 752-758)
Key Words: Diabetic foot, Risk category, Screening test, Semmes-Weinstein monofilament
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