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Pilot testing the new Amit Jain’s scoring system for diabetic foot ulcer in predicting the risk of amputation

Amit Kumar C Jain, Apoorva HC, Kishore Kumar G.




Abstract

The aim of this study was to test the new Amit Jain’s diabetic foot ulcer scoring and determine the predictive validity of this simple scoring for amputation in diabetic foot ulcers. This newly derived score was applied to the above authors’ study that was previously done on 54 patients with diabetic foot ulcer. The mean Amit Jain’s scoring (AJ Scoring) was 5.31±1.37. Majority of the patients were in moderate risk category. 33.33% had amputation. Significant association (P=0.02) was noted with Amit Jain’s increasing score and amputation. Patients who had major amputation were in high-risk category group (P=0.006). The odds ratio for major amputation category was 3.39. This newly derived Amit Jain’s diabetic foot ulcer score is simple, easy to remember score that is an excellent predictor of amputation. Further studies are needed to know its predictive ability for healing of the ulcer.

Key words: Diabetic foot, ulcer, Amit Jain’s, scoring, classification, amputation






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