{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T22:53:20Z","timestamp":1790549600031,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T00:00:00Z","timestamp":1534982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess the prevalence of risk factors for obstructive sleep apnoea in people with diabetic foot ulcers and to determine whether this risk predicts diabetic foot ulcer healing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied 94 consecutive people (69% men) with diabetic foot ulcers (Type 2 diabetes, <jats:italic>n<\/jats:italic>=66, Type 1 diabetes, <jats:italic>n<\/jats:italic>=28) attending a university hospital foot unit. All participants were screened for obstructive sleep apnoea using the <jats:styled-content style=\"fixed-case\">STOP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BANG<\/jats:styled-content> questionnaire, with a score \u22654 identifying high risk of obstructive sleep apnoea. The primary outcome was poor diabetic foot ulcer healing, defined as diabetic foot ulcer recurrence (diabetic foot ulcers which healed and re\u2010ulcerated in same anatomical position) and\/or diabetic foot ulcer persistence (no evidence of healing on clinical examination). All participants were evaluated at 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 94 participants, 60 (64%) had a <jats:styled-content style=\"fixed-case\">STOP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BANG<\/jats:styled-content> score \u22654. Over 12 months, 27 participants with a score \u22654 had poor diabetic foot ulcer healing as compared to seven with a score &lt;4 (45% vs 20.5%; <jats:italic>P<\/jats:italic>=0.025). A <jats:styled-content style=\"fixed-case\">STOP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BANG<\/jats:styled-content> score \u22654 significantly increased the relative risk of poor healing more than twofold, independently of other risk factors in multivariable analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a high prevalence of features and risk of obstructive sleep apnoea in people with diabetic foot ulcers. A <jats:styled-content style=\"fixed-case\">STOP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BANG<\/jats:styled-content> score \u22654 predicts poor diabetic foot ulcer healing. Obstructive sleep apnoea may be a potential, modifiable risk factor\/treatment target to improve diabetic foot ulcer outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.13780","type":"journal-article","created":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T09:39:35Z","timestamp":1531993175000},"page":"1494-1498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Elevated obstructive sleep apnoea risk score is associated with poor healing of diabetic foot ulcers: a prospective cohort study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6770-3569","authenticated-orcid":false,"given":"G.","family":"Maltese","sequence":"first","affiliation":[{"name":"Department of Diabetes and Endocrinology Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Fountoulakis","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Drakatos","sequence":"additional","affiliation":[{"name":"Sleep Disorders Centre Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. F.","family":"Pengo","sequence":"additional","affiliation":[{"name":"Sleep Disorders Centre Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2617-8320","authenticated-orcid":false,"given":"J.","family":"Karalliedde","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Guy's and St Thomas' NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13169-8"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2012.03698.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734609331597"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.22.5.692"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(13)70039-0"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12582"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27986"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201112-2135OC"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2016.05.025"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00111208"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes022"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-013-1006-z"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143697"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-2367"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.19.1690"},{"key":"e_1_2_9_17_1","unstructured":"Sleep Apnoea And Type 2 Diabetes. 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