Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units

Mustafa İçer; Hasan Mansur Durgun

doi:10.5798/dicletip.298615

Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units

Abstract

Objective: Diabetic foot is the most common cause of lower extremity amputations. The aim of the present study was to investigate the clinical characteristics of and factors affecting amputation in patients with diabetic foot ulcer referring to the emergency units.
Methods: The present study was performed based on retrospective review of medical files of 58 patients who were referred to the Emergency Unit of Dicle University, Faculty of Medicine between June 2010 and October 2016 due to diabetic foot ulcer.
Results: Of 58 patients included in this study, 31 (53.4%) were men and 27 (46.6%) were women. The mean age was 61.43±11.584 (range: 41 to 85) years. Extremity amputation was not performed in 34 patients (58.6%), while 24 (41.4%) underwent an amputation. Factors affecting extremity amputation were found to be disease duration, presence of coronary artery disease, duration of hospital stay, and presence of osteomyelitis. Among laboratory findings, factors affecting extremity amputation were albumin, hemoglobin, leukocytes, neutrophil, neutrophil/lymphocyte ratio, hemoglobin A1c, and elevated erythrocyte sedimentation rate. The Wagner-Meggitt Classification of Grade 4, University of Texas Classification of stage D and Grade 3 also had significant effects on amputation. (p<0.05)
Conclusion: Our study results suggest that together with classification systems, comorbidities, albumin levels, hemoglobin A1c levels, sedimentation rate, and complete blood count results play a key role in predicting the amputation requirement in patients with diabetic foot ulcers referring to the emergency units.

Keywords

Diabetic foot ulcer,diabetic foot amputation

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Mustafa İçer This is me
Türkiye

Hasan Mansur Durgun This is me
Türkiye

Publication Date

March 17, 2017

Submission Date

March 17, 2017

Acceptance Date

-

Published in Issue

Year 2017 Volume: 44 Number: 1

DOI

https://doi.org/10.5798/dicletip.298615

IZ

https://izlik.org/JA55EE85RX

Cite

RIS / Bibtex

APA

İçer, M., & Durgun, H. M. (2017). Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units. Dicle Medical Journal, 44(1), 91-98. https://doi.org/10.5798/dicletip.298615

AMA

1.İçer M, Durgun HM. Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units. Dicle Medical Journal. 2017;44(1):91-98. doi:10.5798/dicletip.298615

Chicago

İçer, Mustafa, and Hasan Mansur Durgun. 2017. “Factors Affecting Amputations in Patients With Diabetic Foot Ulcer Referring To the Emergency Units”. Dicle Medical Journal 44 (1): 91-98. https://doi.org/10.5798/dicletip.298615.

EndNote

İçer M, Durgun HM (March 1, 2017) Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units. Dicle Medical Journal 44 1 91–98.

IEEE

[1]M. İçer and H. M. Durgun, “Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units”, Dicle Medical Journal, vol. 44, no. 1, pp. 91–98, Mar. 2017, doi: 10.5798/dicletip.298615.

ISNAD

İçer, Mustafa - Durgun, Hasan Mansur. “Factors Affecting Amputations in Patients With Diabetic Foot Ulcer Referring To the Emergency Units”. Dicle Medical Journal 44/1 (March 1, 2017): 91-98. https://doi.org/10.5798/dicletip.298615.

JAMA

1.İçer M, Durgun HM. Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units. Dicle Medical Journal. 2017;44:91–98.

MLA

İçer, Mustafa, and Hasan Mansur Durgun. “Factors Affecting Amputations in Patients With Diabetic Foot Ulcer Referring To the Emergency Units”. Dicle Medical Journal, vol. 44, no. 1, Mar. 2017, pp. 91-98, doi:10.5798/dicletip.298615.

Vancouver

1.Mustafa İçer, Hasan Mansur Durgun. Factors Affecting Amputations in Patients with Diabetic Foot Ulcer Referring To the Emergency Units. Dicle Medical Journal. 2017 Mar. 1;44(1):91-8. doi:10.5798/dicletip.298615

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