European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Ulcerated diabetic foot is a complex problem. Ischaemia, neuropathy and infection are the three pathological components that lead to diabetic foot complications, and they frequently occur together as an aetiologic triad. Neuropathy and ischaemia are the initiating factors, most often together as neuroischaemia, whereas infection is mostly a consequence. ⋯ New strategies must be developed and implemented for diabetic foot patients with vascular impairment, to improve healing, to speed up healing rate and to avoid amputation, irrespective of the intervention technology chosen. Focused studies on the value of predictive tests, new treatment modalities as well as selective and targeted strategies are needed. As specific data on ulcerated neuroischaemic diabetic feet are scarce, recommendations are often of low grade.
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Eur J Vasc Endovasc Surg · Dec 2011
Standardised frailty indicator as predictor for postoperative delirium after vascular surgery: a prospective cohort study.
To determine whether the Groningen Frailty Indicator (GFI) has a positive predictive value for postoperative delirium (POD) after vascular surgery. ⋯ The GFI can be helpful in the early identification of POD after vascular surgery in a select group of high-risk patients.