Patterns and risk factors associated with index Lower Extremity Amputations (LEA) among Type 2 Diabetes Mellitus (T2DM) patients in Fiji
| Autor: | Sabiha Khan, Anaseini Ratu, Devina Nand, Masoud Mohammadnezhad, Wahed Ali, Anamica Ghosh, Tamara Mangum |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Index (economics) Endocrinology Diabetes and Metabolism medicine.medical_treatment Psychological intervention Type 2 diabetes Logistic regression Amputation Surgical Risk Factors Diabetes mellitus Internal medicine Internal Medicine medicine Fiji Humans Aged Aged 80 and over Nutrition and Dietetics business.industry Type 2 Diabetes Mellitus Middle Aged medicine.disease Diabetic Foot Cross-Sectional Studies Amputation Diabetes Mellitus Type 2 Lower Extremity Observational study Family Practice business |
| Zdroj: | Primary care diabetes. 15(6) |
| ISSN: | 1878-0210 |
| Popis: | Aim To describe patterns of index (first ever) Lower Extremity Amputations (LEA) and to determine factors associated with their occurrence amongst Type 2 Diabetes Mellitus (T2DM) patients in Fiji. Methods This cross-sectional study was conducted that adheres to the STROBE check lists for observational research among T2DM patients who experienced index LEA at the Colonial War Memorial Hospital (CWMH) in Fiji between 2011 and 2015. Demographic and clinical variables were extracted from patient folders. Univariate and multivariate logistic regression were used to determine factors associated with Major LEA. A p-value Results A total of 649 study participants were studied with the average age of index amputation was 58.4 years (±9.6 years, range 30–91 years). The average duration of T2DM was 9.5 ± 5.7 years. LEAs were more common amongst males (55%) and indigenous Fijians (71.8%). One-third of index LEA (33%) were major amputations. Factors associated with occurrence of Major LEA were poor Random Blood Sugar (RBS) levels (OR = 1.68, 95% CI: 1.01, 2.81), midfoot lesion (OR = 9.38 95% CI: 4.95, 19.52), septicaemia (OR = 2.42, 95% CI: 1.28, 4.57), low haemoglobin level (OR = 0.78 95% CI: 0.72, 0.86), and history of hypertension (OR = 0.58, 95% CI: 0.40, 0. 84). Conclusions Results indicate that diabetic patients with foot infections present late to tertiary level care. Our findings also show an urgent need to strengthen primary care interventions and surveillance of both diabetes and diabetic LEA. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect