Skin temperatures as a one-time screening tool do not predict future diabetic foot complications

David G. Armstrong, Lawrence A. Lavery, Robert P. Wunderlich, Andrew J M Boulton

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

This prospective longitudinal study assessed whether baseline mean skin temperature measurements are useful in predicting the most common foot-related complications of diabetes mellitus. We evaluated the mean of baseline skin temperatures taken bilaterally from six plantar sites in 1,588 patients with diabetes. There was no difference in skin temperature based on neuropathy, foot laterality, or foot risk category or between people with and without foot deformity and elevated plantar foot pressure. Whereas people with Charcot's arthropathy had slightly but significantly higher mean temperatures (84.8° ± 3.5°F versus 82.5° ± 4.7°F), this was not true for those who developed ulcers or infections or who underwent amputations. The presence of vascular disease was not associated with lower skin temperatures. Mexican Americans (83.0° ± 4.6°F) and blacks (83.6° ± 4.5°F) had higher mean skin temperatures at baseline than did non-Hispanic whites (81.8° ± 4.6°F). Baseline measurement of nonfocal mean skin temperatures is not an effective means of screening people for future events. Regular assessment of skin temperatures, using the contralateral site as a physiologic control, may be a better use of this technology.

Original languageEnglish (US)
Pages (from-to)443-447
Number of pages5
JournalJournal of the American Podiatric Medical Association
Volume93
Issue number1-6
StatePublished - Jan 2003

Fingerprint

Diabetic Foot
Skin Temperature
Diabetes Complications
Foot
Foot Deformities
Joint Diseases
Vascular Diseases
Amputation
Ulcer
Longitudinal Studies
Prospective Studies
Technology
Pressure
Temperature
Infection

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Skin temperatures as a one-time screening tool do not predict future diabetic foot complications. / Armstrong, David G.; Lavery, Lawrence A.; Wunderlich, Robert P.; Boulton, Andrew J M.

In: Journal of the American Podiatric Medical Association, Vol. 93, No. 1-6, 01.2003, p. 443-447.

Research output: Contribution to journalArticle

Armstrong, David G. ; Lavery, Lawrence A. ; Wunderlich, Robert P. ; Boulton, Andrew J M. / Skin temperatures as a one-time screening tool do not predict future diabetic foot complications. In: Journal of the American Podiatric Medical Association. 2003 ; Vol. 93, No. 1-6. pp. 443-447.
@article{f3955e06cdf145d3acf69c75f9662265,
title = "Skin temperatures as a one-time screening tool do not predict future diabetic foot complications",
abstract = "This prospective longitudinal study assessed whether baseline mean skin temperature measurements are useful in predicting the most common foot-related complications of diabetes mellitus. We evaluated the mean of baseline skin temperatures taken bilaterally from six plantar sites in 1,588 patients with diabetes. There was no difference in skin temperature based on neuropathy, foot laterality, or foot risk category or between people with and without foot deformity and elevated plantar foot pressure. Whereas people with Charcot's arthropathy had slightly but significantly higher mean temperatures (84.8° ± 3.5°F versus 82.5° ± 4.7°F), this was not true for those who developed ulcers or infections or who underwent amputations. The presence of vascular disease was not associated with lower skin temperatures. Mexican Americans (83.0° ± 4.6°F) and blacks (83.6° ± 4.5°F) had higher mean skin temperatures at baseline than did non-Hispanic whites (81.8° ± 4.6°F). Baseline measurement of nonfocal mean skin temperatures is not an effective means of screening people for future events. Regular assessment of skin temperatures, using the contralateral site as a physiologic control, may be a better use of this technology.",
author = "Armstrong, {David G.} and Lavery, {Lawrence A.} and Wunderlich, {Robert P.} and Boulton, {Andrew J M}",
year = "2003",
month = "1",
language = "English (US)",
volume = "93",
pages = "443--447",
journal = "Journal of the American Podiatric Medical Association",
issn = "8750-7315",
publisher = "American Podiatric Medical Association",
number = "1-6",

}

TY - JOUR

T1 - Skin temperatures as a one-time screening tool do not predict future diabetic foot complications

AU - Armstrong, David G.

AU - Lavery, Lawrence A.

AU - Wunderlich, Robert P.

AU - Boulton, Andrew J M

PY - 2003/1

Y1 - 2003/1

N2 - This prospective longitudinal study assessed whether baseline mean skin temperature measurements are useful in predicting the most common foot-related complications of diabetes mellitus. We evaluated the mean of baseline skin temperatures taken bilaterally from six plantar sites in 1,588 patients with diabetes. There was no difference in skin temperature based on neuropathy, foot laterality, or foot risk category or between people with and without foot deformity and elevated plantar foot pressure. Whereas people with Charcot's arthropathy had slightly but significantly higher mean temperatures (84.8° ± 3.5°F versus 82.5° ± 4.7°F), this was not true for those who developed ulcers or infections or who underwent amputations. The presence of vascular disease was not associated with lower skin temperatures. Mexican Americans (83.0° ± 4.6°F) and blacks (83.6° ± 4.5°F) had higher mean skin temperatures at baseline than did non-Hispanic whites (81.8° ± 4.6°F). Baseline measurement of nonfocal mean skin temperatures is not an effective means of screening people for future events. Regular assessment of skin temperatures, using the contralateral site as a physiologic control, may be a better use of this technology.

AB - This prospective longitudinal study assessed whether baseline mean skin temperature measurements are useful in predicting the most common foot-related complications of diabetes mellitus. We evaluated the mean of baseline skin temperatures taken bilaterally from six plantar sites in 1,588 patients with diabetes. There was no difference in skin temperature based on neuropathy, foot laterality, or foot risk category or between people with and without foot deformity and elevated plantar foot pressure. Whereas people with Charcot's arthropathy had slightly but significantly higher mean temperatures (84.8° ± 3.5°F versus 82.5° ± 4.7°F), this was not true for those who developed ulcers or infections or who underwent amputations. The presence of vascular disease was not associated with lower skin temperatures. Mexican Americans (83.0° ± 4.6°F) and blacks (83.6° ± 4.5°F) had higher mean skin temperatures at baseline than did non-Hispanic whites (81.8° ± 4.6°F). Baseline measurement of nonfocal mean skin temperatures is not an effective means of screening people for future events. Regular assessment of skin temperatures, using the contralateral site as a physiologic control, may be a better use of this technology.

UR - http://www.scopus.com/inward/record.url?scp=1842634501&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1842634501&partnerID=8YFLogxK

M3 - Article

VL - 93

SP - 443

EP - 447

JO - Journal of the American Podiatric Medical Association

JF - Journal of the American Podiatric Medical Association

SN - 8750-7315

IS - 1-6

ER -