Predicting the course of diabetic foot syndrome

The authors of the article present the results of observation of 352 patients with purulent-necrotic complications in the lower extremities on the background of diabetes mellitus. Clinical (podiatric examination of the foot, collection of clinical signs and anamnesis), laboratory (biochemical, microbiological, immunological and morphological) and instrumental (ultrasonic echoosteometry, chemical examination of bone composition, ultrasound Doppler, radiography) studies were carried out. Based on the study of 8 parameters that most strongly affect the course and outcome of treatment, a scoring scale for assessing the severity of diabetic foot syndrome was developed. As a result of the analysis of the values of the total score, 3 degrees of severity of the diabetic foot syndrome (mild, moderate and severe) were identified.