Clinical analysis for patients with diabetic foot among multiple centers in China.
10.11817/j.issn.1672-7347.2019.180746
- Author:
Jingcan XU
1
;
Yaping WANG
1
;
Yan CHEN
2
;
Yunmin CAI
3
;
Min LIU
4
;
Qiuhong ZHOU
5
Author Information
1. Department of Nursing, Xiangya Hospital, Central South University, Changsha 410008, China.
2. Orthopedic Center, Ningbo NO. 2 Hospital, Ningbo Zhejiang 315010, China.
3. Wound Healing Center, Jinshan Hospital Affiliated to Fudan University, Shanghai 200540, China.
4. Department of Endocrinology, West China Hospital, Sichuan University, Chengdu 610041, China.
5. Department of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, China.
- Publication Type:Journal Article
- MeSH:
China;
Cross-Sectional Studies;
Diabetes Mellitus, Type 2;
Diabetic Foot;
Diabetic Neuropathies;
Female;
Humans;
Male;
Middle Aged
- From:
Journal of Central South University(Medical Sciences)
2019;44(8):898-904
- CountryChina
- Language:Chinese
-
Abstract:
To explore the clinical characteristics, risk factors and factors affecting the severity of the disease in patients with diabetic foot at the current stage through a multi-center cross-sectional survey.
Methods: Clinical data of 326 patients with diabetic foot (205 males and 121 females) from 13 general hospitals nationwide were collected from October to November 2017 using a unified clinical data collection table. The clinical characteristics were analyzed, and the influential factors for severe diabetic foot were analyzed by logistic regression analysis.
Results: Among 326 patients with diabetic foot, 68.4% of the patients were more than 60 years old, and 60.1% of the patients received primary or junior high school education; 96.3% of the patients developed Type 2 diabetes; 80.1% of patients had glycated hemoglobin (HbA1c)≥7%; 60.1% of patients suffered dyslipidemia. Improper wearing of footwear (38.5%) is the main cause of diabetic foot. Diabetic neuropathy (76.7%), diabetic retinopathy (62.3%) and lower limb vascular disease (57.4%) were the most common complications. Logistic regression analysis showed that diabetic nephropathy, diabetic lower extremity vascular disease, and HbA1c levels were independent risk factors for severe diabetic foot, and receiving foot care education can be regarded as a protective factor.
Conclusion: The diabetic foot occurs mostly in male patients, and Type 2 diabetes with older age, lower education level, poor glycemic control and dyslipidemia are the risk factors. Diabetic nephropathy, diabetic lower extremity vascular disease, HbA1c, and receiving foot care education are independent influential factors for the severity of diabetic foot.
