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178226

Validity of the (WIFI) classification system in predicting the risk of amputation in patients with non healing ulcer

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Last updated: 23 Jan 2023

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Abstract

Background: Classification systems are powerful tools for health care providers to use when managing patients with threatened limbs. The ability to define and delineate a heterogeneous group into fine-grained cohorts not only aids communication between providers, but also allows for a more accurate analysis of outcomes across treatment strategies. Thus, classification systems are essential for clinical decision making as well as setting meaningful goals and expectations with patients and their families.   Aim of the work: To evaluate the predicative ability of this classification in a real world selection at Ain Shams University at period of 1 year depending on the Society for Vascular Surgery, Classification depending on: Wound, Ischemia and Foot Infection (WIFI).   Patients and methods: This study included 60 patients with non-healing wound ulcer at Ain Shams University hospitals during year 2017 and 2018.   Results: As our study showed WIfI classification was predictive of 1 year limb amputation and wound non healing and correlated significantly with outcomes predicted by the SVS consensus panel. The study showed 1 year amputation rates were 0% for stage 1, 7.7% for stage 2, 18.75% for stage 3 And 64.7% for stage 4. It also showed among the 60 patients studied 15 patients had done amputations where 6.7% were stage 2, 20% were stage 3 and 73.7% were stage 4.   Conclusion: WIFI classification can be very useful in predicting the possibility of amputation during 1 year; also the study showed the benefit of using WIFI to plan management of patients presented with foot ulcer.  

DOI

10.21608/asjs.2018.178226

Keywords

WIFI classification system, amputation non-healing ulcer

Authors

First Name

Wafi F.

Last Name

Salib

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Affiliation

Department of General Surgery, Ain Shams University, Egypt

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First Name

Atef A.

Last Name

Desokey

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Affiliation

Department of Vascular Surgery, Ain Shams University, Egypt

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Orcid

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First Name

Ramez M.

Last Name

Wahba

MiddleName

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Affiliation

Department of Vascular Surgery, Ain Shams University, Egypt

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First Name

Mohammed O.

Last Name

Zayed

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Affiliation

Department of Vascular Surgery, Ain Shams University, Egypt

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Volume

11

Article Issue

2

Related Issue

25664

Issue Date

2018-07-01

Receive Date

2021-06-17

Publish Date

2018-07-01

Page Start

130

Page End

135

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_178226.html

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https://asjs.journals.ekb.eg/service?article_code=178226

Order

11

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

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https://asjs.journals.ekb.eg/

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Article

Created At

23 Jan 2023