당뇨병성 족부 궤양 환자의 진단 1년 내의 절단율 및 위험 인자의 분석The Amputation Rate and Associated Risk Factors within 1 Year after the Diagnosis of Diabetic Foot Ulcer
- Other Titles
- The Amputation Rate and Associated Risk Factors within 1 Year after the Diagnosis of Diabetic Foot Ulcer
- Authors
- 천동일; 전민철; 최성우; 김용범; 노재휘; 원성훈
- Issue Date
- 2016
- Publisher
- 대한족부족관절학회
- Keywords
- Diabetic foot ulcer; Amputation rate; Risk factor
- Citation
- 대한족부족관절학회지, v.20, no.3, pp.121 - 125
- Journal Title
- 대한족부족관절학회지
- Volume
- 20
- Number
- 3
- Start Page
- 121
- End Page
- 125
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/9667
- DOI
- 10.14193/jkfas.2016.20.3.121
- ISSN
- 1738-3757
- Abstract
- Purpose: This study investigates the amputation rate within 1 year after the diagnosis of diabetic foot ulcer and its associated risk factors.
Materials and Methods: This study enrolled 60 patients with diabetic foot ulcer. The mean and standard deviation age was 64.4±12.8 years (range, 32∼89 years); the mean and standard deviation prevalence period for diabetes mellitus was 21.0±7.5 years (range, 0.5∼36 years). The amputation rate was evaluated by dividing the subjects into two groups—the major and minor amputation groups—within 1 year following the initial diagnosis of diabetic foot ulcer. Multivariate Cox proportional hazards regression analysis was used to identify the risk factors for amputation.
Results: The total amputation rate of 38.3% (n=23) was comprised of the amputation rate for the major amputation group (10.0%) and rate for the minor amputation group (23.8%). There was a high correlation between peripheral artery disease (toe brachial pressure index <0.7) and amputation (hazard ratio [HR] 5.81, confidence interval [CI] 2.09∼16.1, p<0.01). Nephropathy was significantly correlated with the amputation rate (HR 3.53, CI 1.29∼9.64, p=0.01).
Conclusion: Clinicians who treat patients with diabetic foot complications must understand the fact that the amputation rate within 1 year is significant, and that the amputation rate of patients with peripheral artery disease or nephropathy is especially high.
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Collections - College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
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