Impact of Sleep Apnea on Diabetic Foot Wound.

NCT ID: NCT01573897

Last Updated: 2018-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

35 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-06-04

Study Completion Date

2016-11-15

Brief Summary

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Sleep apnea syndrome (SAS) is a common comorbidity of type 1 and type 2 diabetes. A low transcutaneous oxygen tension (PtcO2) measured on the foot is pejorative prognostic factor for the healing of a diabetic foot wound. SAS causes intermittent nocturnal hypoxia and sympathetic overactivity. The investigators hypothesized that SAS could be a factor reducing the PtcO2.Therefore, the main objective of this study is to assess the variation in PtcO2 between the end of the night and midday in patients with -or at risk of- diabetic foot wound according to the presence or not of sleep apnea syndrome.The secondary objective is to address the microvascularisation of diabetic patients having foot wounds according to their status regarding sleep apnea syndrome.

Detailed Description

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The study is observational, cross-sectional. Presence of sleep apnea syndrome will be assessed on the same night than the main outcome, that is the difference in PtcO2 between 5:00 AM and 12:00AM. Microvascularisation will be assessed by Laser Speckle Contrast Imaging Analysis (LASCA).

Sample size is estimated at 60 patients based on previous revascularisation studies having PtcO2 as main outcome.

An intermediary analysis is planned after 40 inclusions.

Conditions

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Diabetic Foot Sleep Apnea

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Foot-wound without SAS

patients with diabetic foot wound(or at risk of diabetic foot wound) without sleep apnea syndrome

No interventions assigned to this group

Foot-wound with SAS

patients with diabetic foot wound(or at risk of diabetic foot wound) with sleep apnea syndrome

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Types 1 or 2 or MODY diabetes with diabetic foot wound (or at risk of foot wound stage 2 and 3 (see reference PMID:18442189).
* Patients covered by social insurance

Exclusion Criteria

* Patients with sleep apnea syndrome previously treated by positive airway pressure therapy.
* Patients previously treated by additional oxygen therapy. Patient with unstable psychiatric disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AGIR à Dom

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anne-Laure Borel, Pr MD PhD

Role: PRINCIPAL_INVESTIGATOR

Diabetes and Endocrinology Unit, Grenoble University Hospital

Locations

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Diabetes and Endocrinology Unit, Grenoble University Hospital

Grenoble, , France

Site Status

Countries

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France

Other Identifiers

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12-AGIR-01

Identifier Type: -

Identifier Source: org_study_id

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