The exploration and research on the establishment of an early risk assessment system for high-risk diabetic feet
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Updated: Jul 1, 2026

Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
Published on: March 3, 2023
Haixia Qi1,2, Juan Li1, Lijie Hou1
1Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, China.
Purpose:
To develop an early risk assessment system for high-risk diabetic feet.
Methods:
The system framework was established through literature review and two rounds of Delphi expert consultation.
Results:
The two rounds of consultation achieved effective response rates of 73.3% and 100.0%, with authority coefficients of 0.802 and 0.933, and Kendall's coefficients of concordance (W) of 0.302 and 0.103 (all P < 0.05). Consensus was reached on an early risk assessment system comprising 6 dimensions (risk factor identification, neurological assessment, vascular evaluation, foot skin and nail examination, self-care ability assessment, and healthcare resource accessibility) and 42 items, enabling structured risk stratification for high-risk diabetic feet.
Conclusion:
The Delphi-validated system demonstrates good scientific rigor, rationality, practicality, and targetedness. This evidence-based tool can guide nursing training, standardize prevention and control practices, refine teaching programs, and evaluate institutional capabilities for high-risk diabetic foot management.
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