RT Journal Article
T1 Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus.
A1 Chicharro-Luna, Esther
A1 Pomares-Gómez, Francisco Javier
A1 Ortega-Ávila, Ana Belén
A1 Marchena-Rodríguez, Ana José
A1 Blanquer-Gregori, José
A1 Navarro-Flores, Emmanuel María
K1 Neuropatía diabética
K1 Pie diabético
K1 Diabetes
K1 Medicina - Modelos matemáticos
AB Diabetic neuropathy is defined as the presence of symptoms and signs ofperipheral nerve dysfunction in diabetics. The aim of this study is to develop apredictive logistic model to identify the risk of losing protective sensitivity inthe foot. This descriptive cross-sectional study included 111 patients diagnosedwith diabetes mellitus. Participants completed a questionnaire designed toevaluate neuropathic symptoms, and multivariate analysis was subsequentlyperformed to identify an optimal predictive model. The explanatory capacitywas evaluated by calculating the R2 coefficient of Nagelkerke. Predictive capacitywas evaluated by calculating sensitivity, specificity, and estimation of thearea under the receiver operational curve. Protective sensitivity loss wasdetected in 19.1% of participants. Variables associated by multivariate analysiswere: educational level (OR: 31.4, 95% CI: 2.5-383.3, P = .007) and two itemsfrom the questionnaire: one related to bleeding and wet socks (OR: 28.3, 95%CI: 3.7-215.9, P = .001) and the other related to electrical sensations (OR: 52.9,95% CI: 4.3-643.9, P = .002), which were both statistically significant. The predictivemodel included the variables of age, sex, duration of diabetes, and educationallevel, and it had a sensitivity of 81.3% and a specificity of 95.5%. Thismodel has a high predictive capacity to identify patients at risk of developingsensory neuropathy.
PB Wiley
YR 2019
FD 2019
LK https://hdl.handle.net/10630/38440
UL https://hdl.handle.net/10630/38440
LA eng
NO Chicharro-Luna E, Pomares-Gómez FJ, Ortega-Ávila AB, Marchena-Rodríguez A, Blanquer-Gregori JFJ, Navarro-Flores E. Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus. Int Wound J. 2020 Feb;17(1):220-227. doi: 10.1111/iwj.13263. Epub 2019 Nov 5. PMID: 31691513; PMCID: PMC7949069.
NO https://openpolicyfinder.jisc.ac.uk/id/publication/7033
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026