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Multicenter Study
. 2023 Nov;39(8):e3705.
doi: 10.1002/dmrr.3705. Epub 2023 Jul 31.

Use of the SINBAD score as a predicting tool for major adverse foot events in patients with diabetic foot ulcer: A French multicentre study

Georges Ha Van  1 , Sophie Schuldiner  2 , Ariane Sultan  3   4 , Benjamin Bouillet  5   6   7 , Jacques Martini  8 , Julien Vouillarmet  9 , Medhi Menai  10 , Aurélie Foucher  10 , Olivier Bourron  11 , Agnes Hartemann  11 , Antoine Perrier  1
Affiliations
Multicenter Study

Use of the SINBAD score as a predicting tool for major adverse foot events in patients with diabetic foot ulcer: A French multicentre study

Georges Ha Van et al. Diabetes Metab Res Rev. 2023 Nov.

Abstract

Objective: To assess the relationship between the site, ischaemia, neuropathy, bacterial infection, area, depth (SINBAD) score and major adverse foot events in patients with diabetes and foot ulcers.

Methods: For this retrospective ancillary study, patients (n = 537) followed for a diabetic foot ulcer (DFU) in six French hospitals were included between 1 February 2019 and 17 March 2019, and between 1 February 2020 and 17 March 2020. The SINBAD score was assessed at inclusion. The frequency of a composite outcome consisting of eight major adverse foot events (MAFE) was assessed after 5-6 months of follow-up: hospitalisation for DFU, septic surgery, revascularisation, minor amputation, major amputation, death, secondary infection and ulcer recurrence. A logistical regression explored the link between the SINBAD score and MAFE and each of its component.

Results: A low SINBAD score (from 0 to 3) was observed in 61% of patients and a high (from 4 to 6) in 39%. MAFE occurred in, respectively, 24% and 28% of these patients. Multivariate analyses showed a significant relationship between the SINBAD score and MAFE, with the continuous SINBAD score: odds ratio (OR) 1.72 [95% CI (1.51-1.97)] or dichotomic SINBAD score (values: 0-3 and 4-6): OR 3.71 [95% CI (2.54-5.42)]. The SINBAD score (continuous or dichotomic) at inclusion was also significantly associated with six out of the eight components of the MAFE.

Conclusions: The SINBAD score is a useful tool for predicting major adverse foot events.

Keywords: SINBAD; diabetic foot ulcer; major adverse foot event.

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References

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