- Meeting abstract
- Open Access
Risk factors for ulceration and amputation in patients with diabetic foot at risk: results form a tertiary care center
© Fiore et al. 2015
- Published: 11 November 2015
- Independent Risk Factor
- Symptom Score
- Tertiary Care
Ulceration and amputation are severe complications of diabetes, leading to great morbidity and mortality. Of all lower limb amputations, about 50% are performed in these patients (1). In their lifetime, diabetics have a chance as high as 25% to develop a foot ulcer (2). After an amputation, mortality rates ranges from 13% to 40% at 1 year, 35% to 65% at 3 yrs., and 39% to 80% at 5 yrs. (3). The aim of this study was to assess the main risk factors of ulceration and amputation in patients with type 1 and type 2 diabetes.
A cross-sectional study was conducted in a tertiary hospital. Data was collected on the patients' first attendance in the neuropathic and diabetic foot unit, between June 2012 and September 2014. Statistical significance was set at 5%.
Besides neuropathic and neuro-ischemic foot, other factors such as hypertension, dyslipidemia and presence of microalbuminuria were variables associated with ulceration and amputation, supporting that treatment of the diabetic patient should also aim the control of cholesterol levels and microalbuminuria. Specific care and education should be directed to males, due worse outcomes. The knowledge of these risk factors is important for implementation of prevention strategies, avoiding future damage and disability.
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