Journal of the American Podiatric Medical Association · 2025
Prevalence of Deep Venous Thrombosis in the Treatment of Diabetic Foot Ulcers with Total-Contact Casts.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tsai Robin, Bazikian Sebouh, Shin Laura, Woelfel Stephanie, Armstrong David G
Аннотация
BACKGROUND: One of the gold standard treatments for diabetic foot ulcers (DFUs) is the ambulatory total-contact cast (TCC). Although there is a well-known association between immobilization and deep venous thrombosis (DVT), we are unaware of reports in the literature exploring the proportion of patients reporting DVT receiving a TCC.
METHODS: A review was performed using the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines in the PubMed, Embase, and Ovid Medline databases. Independent reviewers selected studies and extracted data. Inclusion criteria were publications reporting DVTs in patients who were off-loaded or immobilized with TCCs for the treatment of DFUs. Predefined outcomes of interest included the occurrence of DVTs, TCC duration, treatment protocol, and preexisting comorbidities.
RESULTS: Of 380 reports reviewed across multiple databases, two studies met all of the inclusion and exclusion criteria. The combined studies reported a DVT in 178 episodes of immobilization.
CONCLUSIONS: The available literature studying the associations among DVTs, DFUs, and TCCs was surprisingly sparse for a population that would otherwise be considered at high risk for similar events. This may be at least in part because TCCs are changed more often than other traditional immobilization devices, such as a standard fracture cast. Although these data seem to suggest a low background prevalence, we look forward to further works confirming or refuting these findings.
METHODS: A review was performed using the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines in the PubMed, Embase, and Ovid Medline databases. Independent reviewers selected studies and extracted data. Inclusion criteria were publications reporting DVTs in patients who were off-loaded or immobilized with TCCs for the treatment of DFUs. Predefined outcomes of interest included the occurrence of DVTs, TCC duration, treatment protocol, and preexisting comorbidities.
RESULTS: Of 380 reports reviewed across multiple databases, two studies met all of the inclusion and exclusion criteria. The combined studies reported a DVT in 178 episodes of immobilization.
CONCLUSIONS: The available literature studying the associations among DVTs, DFUs, and TCCs was surprisingly sparse for a population that would otherwise be considered at high risk for similar events. This may be at least in part because TCCs are changed more often than other traditional immobilization devices, such as a standard fracture cast. Although these data seem to suggest a low background prevalence, we look forward to further works confirming or refuting these findings.