Clinical Classification of the Diabetic Foot Syndrome Adapted to ICD-10 as a Solution to the Problem of Diagnostics, Statistics and Standardisation

Abstract

Background and Objectives: To propose a new classification of diabetic foot syndrome adapted for inclusion in the ICD-10 (the ICD-10 is the 10th revision of the International Statistical Classification of Diseases) and providing more reliable data on the number of clinical cases. Materials and Methods: A randomized controlled trial was performed. A total of 180 patients (36.6%) discharged from the hospital after surgical treatment and 312 patients (63.4%) who applied independently were observed and analysed. All patients had type 2 diabetes and were comparable in gender, age, duration of diabetes, area and nature of the wound defect. Results: We proposed to add the following to the existing ICD-10 and the emerging ICD-11 codes: Edf10.0—insulin-dependent diabetes mellitus with diabetic foot syndrome and Edf11.0—non-insulin-dependent diabetes mellitus with diabetic foot syndrome, where “df” is an acronym for diabetic foot. The new classification designates the seven most frequent areas of the lesion and five degrees of depth of soft tissue lesions. Conclusions: The proposed classification adapted for ICD-10 will enable the standardisation of diagnosis, providing a complete picture of this complication of diabetes mellitus, determining the number of amputations and their validity. Accurate statistics will allow for objective funding and timely preventive measures.

Analysis of Clinical Profiles, Deformities, and Plantar Pressure Patterns in Diabetic Foot Syndrome

“…Diabetic foot syndrome has long been investigated, since it represents a major complication of diabetes mellitus [21,22]. The disease is associated with very high clinical and economic burden [23], a strong negative impact on quality of life [24], and high rates of hospitalization in type 2 diabetes [25].…”

Study of Electrospun Membranes Composed of PCL and Tilapia-Skin Collagen with Tetracycline or Chloramphenicol in Contact with Human Skin Fibroblasts for Wound Dressing Treatment

“…It is accompanied by modifications in the metabolism of carbohydrates, lipids, and proteins. Chronic hyperglycemia is associated with long-term complications in the eyes, kidneys, nerves, blood vessels, and heart . In addition, foot ulcers are a common problem in people with diabetes.…”

“…Chronic hyperglycemia is associated with long-term complications in the eyes, kidneys, nerves, blood vessels, and heart. 1 In addition, foot ulcers are a common problem in people with diabetes. Ulcers are accompanied by neuropathy, peripheral blood vessel disease and infection, and may culminate in gangrene, causing limb amputation.…”