The exploration and research on the establishment of an early risk assessment system for high-risk diabetic feet
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By
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Haixia Qi
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Juan Li
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Lijie Hou
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Ruiping Huang
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Lihua Ma
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June 15, 2026
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Clinical Scorecard: Development of an Early Risk Assessment Framework for Patients with High-Risk Diabetic Feet
At a Glance
| Category | Detail |
|---|
| Condition | High-Risk Diabetic Feet |
| Key Mechanisms | Risk factor identification, neurological assessment, vascular evaluation, foot skin and nail examination, self-care ability assessment, healthcare resource accessibility |
| Target Population | Patients with diabetes, particularly those at high risk for diabetic foot complications |
| Care Setting | Clinical settings focusing on diabetic foot management |
Key Highlights
- Consensus reached on a risk assessment system comprising 6 dimensions and 42 items
- Effective response rates of expert consultations were 73.3% and 100.0%
- Standardized early risk screening can prevent nearly 50% of diabetic foot ulcers and amputations
- The system demonstrates good scientific rigor and practicality
- Aimed at optimizing nursing training and evaluating institutional capabilities
Guideline-Based Recommendations
Diagnosis
- Utilize a comprehensive assessment framework for early identification of risk factors
Management
- Implement standardized intervention protocols based on risk stratification
Monitoring & Follow-up
- Regularly assess and update risk factors and patient conditions
Risks
- Failure to implement early risk assessment may lead to chronic wounds and amputations
Patient & Prescribing Data
Individuals with diabetes, especially those over 60 years old
Standardized interventions are crucial for preventing complications
Clinical Best Practices
- Adopt a multidimensional approach to diabetic foot risk assessment
- Engage in continuous education and training for healthcare providers
- Utilize evidence-based tools for risk stratification and management
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