Influence of clinical and rehabilitation characteristics on prognosis of diabetic foot amputees:a systematic review
10.3969/j.issn.1006-9771.2024.11.006
- VernacularTitle:糖尿病足截肢者临床及康复特征对其预后影响的系统综述
- Author:
Haoyuan ZHANG
1
;
Gang TIAN
;
Xuefeng LI
;
Hongjiang LI
;
Hongwei MIN
;
Peng TANG
;
Rui ZHANG
;
Rui GU
;
Kemin LIU
Author Information
1. 首都医科大学康复医学院,北京市 100068
- Keywords:
diabetic foot;
amputation;
prognosis;
quality of life;
systematic review
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(11):1281-1290
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the impact of different clinical and rehabilitation characteristics on the prognosis of diabetic foot amputees. Methods Related literatures were searched in CNKI,Wanfang Data,PubMed,Cochrane Library and Google Scholar from establishment to August,2024.The literatures were screened and extracted by two researchers independent-ly,the Newcastle-Ottawa Scale(NOS)and the evaluation criteria recommended by Agency for Healthcare Re-search and Quality(US)were used for quality evaluation,and literatures with above medium quality were includ-ed,and a systematic review was conducted. Results A total of 17 articles involving 9 239 subjects were included,in which three were Chinese,and 14 were English.The study designs were case-control study,cohort study and cross-sectional study.They mainly came from the fields of rehabilitation medicine,orthopedics,sports medicine and disability studies,and were published between 1998 to 2023.Clinical and rehabilitation characteristics related to the prognosis of diabetic foot amputees includ-ed amputation level,socioeconomic determinants(educational attainment,economic status,social participation,etc.),psychological states(anxiety,depression,etc.)and physiological factors(age,gender,pain,prosthetic limb usage,and ambulatory capacity,etc.).These different characteristics could affect the quality of life of diabetic foot amputees,and even lead to re-amputation or death. Conclusion Factors of amputation level,socioeconomic status,psychological status and physiological status are impor-tant for poor prognosis in diabetic foot amputees.Controlling the above factors can effectively reduce the re-am-putation rate and mortality,and improve the quality of life in diabetic foot amputees,thus improving their progno-sis,and promoting functional rehabilitation.
