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Increased Mortality in Diabetic Foot Ulcer Patients: The Significance of Ulcer Type
Joint Authors
Chammas, N. K.
Hill, R. L. R.
Edmonds, M. E.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-24
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Diabetic foot ulcer (DFU) patients have a greater than twofold increase in mortality compared with nonulcerated diabetic patients.
We investigated (a) cause of death in DFU patients, (b) age at death, and (c) relationship between cause of death and ulcer type.
This was an eleven-year retrospective study on DFU patients who attended King’s College Hospital Foot Clinic and subsequently died.
A control group of nonulcerated diabetic patients was matched for age and type of diabetes mellitus.
The cause of death was identified from death certificates (DC) and postmortem (PM) examinations.
There were 243 DFU patient deaths during this period.
Ischaemic heart disease (IHD) was the major cause of death in 62.5% on PM compared to 45.7% on DC.
Mean age at death from IHD on PM was 5 years lower in DFU patients compared to controls (68.2 ± 8.7 years versus 73.1 ± 8.0 years, P = 0.015 ).
IHD as a cause of death at PM was significantly linked to neuropathic foot ulcers (OR 3.064, 95% CI 1.003–9.366, and P = 0.049 ).
Conclusions.
IHD is the major cause of premature mortality in DFU patients with the neuropathic foot ulcer patients being at a greater risk.
American Psychological Association (APA)
Chammas, N. K.& Hill, R. L. R.& Edmonds, M. E.. 2016. Increased Mortality in Diabetic Foot Ulcer Patients: The Significance of Ulcer Type. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1108036
Modern Language Association (MLA)
Chammas, N. K.…[et al.]. Increased Mortality in Diabetic Foot Ulcer Patients: The Significance of Ulcer Type. Journal of Diabetes Research No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1108036
American Medical Association (AMA)
Chammas, N. K.& Hill, R. L. R.& Edmonds, M. E.. Increased Mortality in Diabetic Foot Ulcer Patients: The Significance of Ulcer Type. Journal of Diabetes Research. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1108036
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108036