Gray autumn. Depression and Saint Elian: the invisible wounds of diabetic foot
DOI:
https://doi.org/10.47196/diab.v59i1.1158Keywords:
depression, Saint Elian classification, diabetic footAbstract
Autumn may be a dull season, but it has also brought valuable scientific insight into one of the most serious and costly complications of diabetes mellitus (DM): diabetic foot (DF). This condition not only threatens patients' well-being but also carries high morbidity and mortality. The 5-year mortality rate for people with a DF ulcer is approximately 30%, exceeding 70% for those with a major amputation,1 with depression being a key factor in prognosis.2 In fact, a meta-analysis reports a 47% incidence of depression in patients with DF, with variations by region.3 The study "Association according to the Saint Elian classification in diabetic foot in adults with type 2 diabetes mellitus: quality of life and depression" prospectively analyzes the relationship between DF severity (classified using the Saint Elian wound scoring system), depression, and quality of life in patients with DM2.
References
I. Armstrong DG, Tan TW, Boulton AJM, Bus SA. Diabetic foot ulcers. A review. JAMA. 2023 Jul 3;330(1):62-75. doi: 10.1001/jama.2023.10578.
II. Winkley K, Sallis H, Kariyawasam D, et al. Five-year follow-up of a cohort of people with their first diabetic foot ulcer: the persistent effect of depression on mortality. Diabetologia 2012, 55(2): 303–310. 10.1007/s00125-011-2359-2.
III. Jiang F-H, Liu X-M, Yu H-R, Qian Y, Chen H-L. The incidence of depression in patients with diabetic foot ulcers. A systematic review and meta-analysis. Int J Low Extrem Wounds 2020;21(2):161-173. doi:10.1177/1534734620929892
IV. Martínez-De Jesús FR, Ibrahim A, Rodríguez-Ramírez N, Zambrano-Loaiza E. The latin american Saint Elian Wound Score System (sewss) for the triage of the diabetic foot attack. Cirugía y Cirujanos 2021; 89(5), 679-685. doi: 10.24875/ciru.20000283.
V. Carro GV, Carrió M, Saurral R, Torres J, Issa C, et al. Estudio de pie diabético en instituciones de Argentina. Rev Soc Arg Diab 2023;57(sup 3):42-42. doi: 10.47196/diab.v57i3Sup.700.
VI. Carro GV, Saurral R, Carlucci E, Gette F, Llanos M de los Á, Amato PS. A comparison between diabetic foot classifications WIfI, Saint Elian, and Texas. Description of wounds and clinical outcomes. Int J Low Extrem Wounds 2020;21(2):120-130. doi:10.1177/1534734620930171.
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