Factors Affecting Mortality in Rapidly Progressive Diabetic Foot Ulcer Patients

Yıl 2019, Cilt: 43 Sayı: 1, 23 - 28, 01.07.2019

Anıl Demiröz Hakan Arslan

Öz

DOI: 10.26650/cjm.2019.43.39

Objective: A diabetic foot ulcer with
progressive infection is a life-threatening condition that requires urgent
surgical intervention. Because of the severity of this condition, it is
important to understand its epidemiological and prognostic background. This
study aims to evaluate the epidemiology of the diabetic foot ulcer and describe
the etiology and the surgical procedures performed to treat it.

Methods: A retrospective review of 35
diabetic patients with foot ulcers was performed. These individuals were
admitted to the emergency department and were subsequently hospitalized between
April 2006 and April 2011. Factors affecting their mortality were statistically
assessed.

Results: The long duration of ulcer
treatment and need for intensive care were found significantly related to
mortality (p<0.05). There was a trend toward higher mortality in the patient
group with cardiac comorbidity (24% versus 20%), but this was not found to be
statistically significant.

Conclusion:
Infective diabetic foot ulcers may have a highly mortal course. Having
knowledge of how to discriminate between the acute infection and the factors
affecting patient mortality may lead us to making better prognoses and
delivering more effective treatment.

Cite this article as: Demiröz A, Arslan H.
Factors Affecting Mortality in Rapidly Progressive Diabetic Foot Ulcer
Patients. Cerrahpasa Med J 2019; 43(1): 23-28.

Anahtar Kelimeler

Diabetic foot wound, infection, mortality, sepsis

Hızlı ilerleyici diyabetik ayak yarası hastalarında mortaliteyi etkileyen faktörler

Öz

DOI: 10.26650/cjm.2019.43.39

Amaç: Hızlı ilerleyici septik enfeksiyonla
seyreden diyabetik ayak yaraları son derece ölümcül durumlardır. Bu nedenle
hızlı bir cerrahi müdahale gerektirirler. Bu durumların ciddiyetinden ötürü
hastalığın epidemiyolojik ve prognostik altyapısının bilinmesi önemlidir. Bu
çalışmanın amacı; bu hasta grubunda epidemiyoloji, etiyoloji ve uygulanan
cerrahi prosedürlerin mortalite üzerine etkisini araştırmaktır.

Yöntemler: Nisan 2006 ile Nisan 2011
arasında acil polikliniğine başvuran ve acil yatış gerektiren 35 diyabetik ayak
yarası hastasının kayıtları retrospektif olarak tarandı. Hastaların yaş,
cinsiyet, eşlik eden hastalık, diyabet süresi, yara süresi, yara etiyolojisi,
mikrobiyolojik inceleme sonuçları, uygulanan cerrahi girişimler, operasyon
sonrası yoğun bakım ihtiyacı ve mortaliteleri incelendi. İstatistiksel olarak
diğer tüm parametrelerin mortalite ile korelasyonu araştırıldı.

Bulgular: Yara süresinin uzun olması ve
postoperatif yoğun bakım ihtiyacı istatistiksel olarak anlamlı şekilde
mortalite ile korale bulundu (p<0,05). Kardiyak ek hastalık öyküsü bulunan
hasta grubunda mortalitenin daha yüksek olduğu görüldü ancak bu fark
istatistiksel olarak anlamlı bulunmadı (%24’e %20).

Sonuç: Enfekte diyabetik ayak yaraları son
derece ölümcül bir seyre sahip olabilir. Akut enfeksiyon ayrımını yapabilmek ve
mortalite üzerine etki eden faktörleri bilmek daha iyi bir prognoza ulaşmak
için yol gösterici olacaktır.

Cite this article as: Demiröz A, Arslan H.
Factors Affecting Mortality in Rapidly Progressive Diabetic Foot Ulcer
Patients. Cerrahpasa Med J 2019; 43(1): 23-28.

Anahtar Kelimeler

Diyabetik ayak yarası, enfeksiyon, mortalite, sepsis

Kaynakça

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