Risk Factors for Foot Amputation in Patients Hospitalized for Diabetic Foot Infection
Joint Authors
Verrone Quilici, Maria Teresa
Del Fiol, Fernando de Sá
Franzin Vieira, Alexandre Eduardo
Toledo, Maria Inês
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
The aim of this study was to identify and quantify risk factors for amputation in diabetic patients hospitalized for foot infections.
This cross-sectional study comprised 100 patients with diabetic infectious complications in the lower limbs.
The variables investigated were related to diabetes, infection, and treatment compliance.
Multiple Cox regression analysis was performed to identify the variables independently associated with the outcome of amputation.
The most prevalent chronic complications were neuropathy and hypertension.
Most patients presented with a neuroischemic foot (86%).
The Morisky test showed that 72% were not compliant with diabetes treatment.
Regarding patient outcome, 61% progressed to amputation, 14% to debridement, and 9% to revascularization.
The results showed a 42% higher risk for progression to amputation in patients with previous use of antimicrobials.
Also, the amputation risk was 26% higher for those less compliant with diabetes treatment.
An increase of one point in the Wagner ulcer classification criteria corresponded to a 65% increase in the risk of amputation.
Undergoing conservative, nonsurgical procedures prior to admission provided a 63% reduction in the risk of amputation.
Knowledge of these factors is critical to enable multidisciplinary teams to develop treatment plans for these patients so as to prevent the need for amputation.
American Psychological Association (APA)
Verrone Quilici, Maria Teresa& Del Fiol, Fernando de Sá& Franzin Vieira, Alexandre Eduardo& Toledo, Maria Inês. 2016. Risk Factors for Foot Amputation in Patients Hospitalized for Diabetic Foot Infection. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1108305
Modern Language Association (MLA)
Verrone Quilici, Maria Teresa…[et al.]. Risk Factors for Foot Amputation in Patients Hospitalized for Diabetic Foot Infection. Journal of Diabetes Research No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1108305
American Medical Association (AMA)
Verrone Quilici, Maria Teresa& Del Fiol, Fernando de Sá& Franzin Vieira, Alexandre Eduardo& Toledo, Maria Inês. Risk Factors for Foot Amputation in Patients Hospitalized for Diabetic Foot Infection. Journal of Diabetes Research. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1108305
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108305