The major predictors of amputation and length of stay in diabetic patients with acute foot ulceration

Summary Background Diabetic foot infections are associated with substantial morbidity and mortality. Prediction of diabetic foot ulcer outcome may be helpful for optimizing management strategy. This study aimed to determine the major predictors of amputation and length of stay in diabetic patients w...

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Bibliographic Details
Published in:Wiener Klinische Wochenschrift 2015-01, Vol.127 (1-2), p.45-50
Main Authors: Tabur, Suzan, Eren, Mehmet Ali, Çelik, Yakup, Dağ, Omer Faruk, Sabuncu, Tevfik, Sayiner, Zeynel Abidin, Savas, Esen
Format: Article
Language:English
Subjects:
Amputation - utilization
Diabetic Foot - epidemiology
Diabetic Foot - surgery
Endocrinology
Female
Gastroenterology
Humans
Incidence
Internal Medicine
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Pneumology/Respiratory System
Prognosis
Risk Assessment
Sex Distribution
Turkey - epidemiology
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Summary:Summary Background Diabetic foot infections are associated with substantial morbidity and mortality. Prediction of diabetic foot ulcer outcome may be helpful for optimizing management strategy. This study aimed to determine the major predictors of amputation and length of stay in diabetic patients with acute foot ulceration. Methods A total of 55 type 2 diabetic patients with diabetic foot infection were enrolled. The patients were evaluated according to the Infectious Diseases Society of America and International Working Group on the Diabetic Foot criteria and also the Wagner’s classification. Blood samples were taken at the start of hospitalization for the measurement of glucose, hemoglobin A1C (HbA 1 C), white blood cells (WBC), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR). Length of stay in hospital was recorded. Results WBC and CRP were significantly higher in lower-extremity amputation (LEA) group ( p  = 0.001 and p  = 0.008, respectively); also, ESR was higher in this group, but there was no statistical significance. Wagner grade and infection severity were significantly higher in the LEA group as compared with the non-LEA group (both p values
ISSN:0043-5325
1613-7671
DOI:10.1007/s00508-014-0630-5