Survival evaluation of the patients with diabetic major lower-extremity amputations
| Autor: | Umit Gok, M. Ç. Güner, A. Güdük, Alev Selek, Ozgur Selek |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Turkey medicine.medical_treatment 030209 endocrinology & metabolism Comorbidity 030204 cardiovascular system & hematology Amputation Surgical 03 medical and health sciences Postoperative Complications Sex Factors 0302 clinical medicine Ischemia Cause of Death Sepsis Diabetes mellitus medicine Humans Orthopedics and Sports Medicine Survival rate Survival analysis Aged Retrospective Studies Aged 80 and over Leg business.industry Mortality rate Significant difference Age Factors Retrospective cohort study Middle Aged medicine.disease Diabetic Foot Surgery Survival Rate Debridement Diabetes Mellitus Type 2 Amputation Cardiovascular Diseases Orthopedic surgery Female Kidney Diseases business Follow-Up Studies |
| Zdroj: | MUSCULOSKELETAL SURGERY. 100:145-148 |
| ISSN: | 2035-5114 2035-5106 |
| DOI: | 10.1007/s12306-016-0399-y |
| Popis: | The purpose of this study was to evaluate the survival after major lower-limb amputation, at a level either below (BKA) or above (AKA) the knee, in diabetic patients. A total of 140 diabetic patients who underwent major lower-limb amputation during the period of 2001–2011 were enrolled in the study. The patients were grouped as below-knee and above-knee amputations. The differences in survival by age, gender, amputation level and revision surgery were investigated. The clinical follow-up periods and the results of the patients with major lower-limb amputation were retrospectively assessed. The mean follow-up period was 24.87 months (range 0.06–120 months). The mortality rate of series was 32.8 % for 1 year and 70 % for 5 years. One-year mortality rate was 24.6 % and 5-year mortality rate was 66.3 % in below-knee group, 1-year mortality rate was 43.3 % and 5-year mortality rate was 83.3 % in above-knee group. The difference between mortality rates of these groups was significant (p: 0.019). There was no statistically significant difference according to age and gender (p: 0.543 and 0.568). The previous minor amputations were found to have no effect on mortality (p: 0.471). Routine utilization of diabetes follow-up, screening and treatment programs with a multidisciplinary approach might be mandatory to handle early multisystem involvement—prevent major amputation, and increase survival rate in diabetic patients. Retrospective cohort study, Level III. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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