Analysis of the Risk Factors for Lower Extremity Amputation due to Diabetic Foot Complications.
- Author:
Hong Geun JUNG
1
;
You Jin KIM
;
Shang Ho SHIM
;
Hee Jin KIM
Author Information
1. Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea. jungfoot@hanmail.net
- Publication Type:Original Article
- Keywords:
Diabetic foot;
Lower Extremity Amputation;
Risk factors
- MeSH:
Amputation*;
Blood Glucose;
Body Mass Index;
C-Peptide;
Cardiovascular Diseases;
Cholesterol;
Diabetes Mellitus;
Diabetic Foot*;
Endocrinology;
Follow-Up Studies;
Hemoglobin A, Glycosylated;
Humans;
Hypertension;
Lower Extremity*;
Risk Factors*;
Smoke;
Smoking
- From:Journal of Korean Foot and Ankle Society
2007;11(2):149-153
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the possible risk factors of lower extremity amputations in diabetic foot patients. MATERIALS AND METHODS: The study is based on 37 patients who received lower extremity amputations from April, 1997 to February 2005 due to diabetic foot complications with at least 1 year follow up. As for the control group, 49 diabetes patients who had been treated at the endocrinology department for at least 1 year without any diabetic foot complication were evaluated. As for the possible risk factors, age, gender, duration of diabetes mellitus, body mass index, Hb A1c, blood glucose level, total cholesterol, s-creatinine, C-peptide, smoking, alcohol, hypertension, cardiovascular disease, CVA, retinopathy and neuropathy were investigated. RESULTS: Among the possible risk factors evaluated, age, Hb A1c, smoking, neuropathy and blood glucose level factors showed statistically significant difference between the diabetic amputation and the control group. CONCLUSION: In reducing the risk of the lower extremity amputations in the diabetic patients due to diabetic foot complications, strict control of blood glucose level and cessation of smoking were found to be utmost important.
