Decreasing incidence of major amputations in people with diabetes
| Autor: | N. Ellitsgaard, V. Ellitsgaard, Per Holstein, B. Bornefeldt Olsen |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty endocrine system diseases Denmark Endocrinology Diabetes and Metabolism medicine.medical_treatment Population Amputation Surgical Sex Factors Sex factors Diabetes mellitus Internal Medicine medicine Humans In patient education Vein Aged Retrospective Studies Aged 80 and over Gangrene education.field_of_study business.industry Incidence Incidence (epidemiology) Age Factors nutritional and metabolic diseases Retrospective cohort study Middle Aged Vascular surgery Hospitals District medicine.disease Diabetic foot Diabetic Foot Surgery Diabetes Mellitus Type 1 medicine.anatomical_structure Diabetes Mellitus Type 2 Amputation Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vasa. 30:28-31 |
| ISSN: | 1664-2872 0301-1526 |
| DOI: | 10.1024/0301-1526.30.s58.28 |
| Popis: | Aims/hypothesis. To assess the results of the strategy used in avoiding major amputations in patients with diabetes mellitus. Methods. A retrospective study for the years 1981 to 1995 in a central district hospital in Copenhagen with a catchment area population of about 178000. Results. There were 463 major leg amputations and the incidence decreased from 27.2 to 6.9/100000 population (minus 75%). The decrease in patients with Type I diabetes mellitus was from 10.0 to 4.1 (minus 59%) and in Type II diabetes mellitus from 17.2 to 2.8/100000 people (minus 84% ). Analysis showed that the diabetic population remained constant despite a considerable fall in the number of older people. During the study period infra-popliteal arterial bypass was introduced for the treatment of critical lower limb ischaemia and in diabetic patients the number of bypasses increased from 0 to 13/100000 population. The total number of revascularisation procedures in people with diabetes increased from 2.6 to 19.2/100000 population. Moreover, a multidisciplinary diabetic foot clinic was established. Conclusion/interpretation. A 75% reduction in the incidence of major amputations coincided with a sevenfold increase in revascularization procedures and the establishment of a multidisciplinary diabetic foot clinic suggesting these measures are important in the prevention of diabetic leg amputations. |
| Databáze: | OpenAIRE |
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