Yıl: 2022 Cilt: 56 Sayı: 5 Sayfa Aralığı: 333 - 339 Metin Dili: İngilizce DOI: 10.5152/j.aott.2022.22052 İndeks Tarihi: 03-05-2023

Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center

Öz:
Objective: This study aimed to analyze risk factors for amputation (overall, minor and major) in patients with diabetic foot ulcers (DFUs). Methods: 407 patients with DFUs (286 male, 121 female; mean age = 60, age range = 32-92) who were managed in a tertiary care centre from 2009 to 2019 were retrospectively identified and included in the study. DFUs were categorized based on the Meggit-Wagner, PEDIS, S(AD)SAD, and University of Texas (UT) classification systems. To identify amputation risk-related factors, results of patients with DFUs who underwent amputations (minor or major) were compared to those who received other adjunctive treatments using Chi-Square, oneway analysis of variance (ANOVA) and Spearman correlation analysis. Results: The mean C-reactive protein (CRP) and White Blood Cell (WBC) values were significantly higher in patients with major or minor amputation than in those without amputation. The mean Neutrophil (PNL), Platelets (PLT), wound width, creatinine and sedimentation (ESR) values were significantly higher in patients with major amputation compared to other groups of patients. Elevated levels of Highdensity lipoprotein (HDL), Hemoglobin (HGB) and albumin were determined to be protective factors against the risk of amputation. Spearman correlation analysis revealed a positive-sided, strong-levelled, significant relation between Wagner grades and amputation status of patients. Conclusion: This study has identified specific factors for major and minor amputation risk of patients with DFUs. Especially infection markers such as CRP, WBC, ESR and PNL were higher in the amputation group. Most importantly, Meggit Wagner, one of the four different classification systems used in the DFUs, was determined to be highly associated with patients’ amputation risk.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
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APA DEMIRKOL D, AKTAŞ Ş, Ozcan T, Tannier X, Erol C (2022). Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. , 333 - 339. 10.5152/j.aott.2022.22052
Chicago DEMIRKOL DENIZHAN,AKTAŞ ŞAMİL,Ozcan Tuncay,Tannier Xavier,Erol Cigdem Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. (2022): 333 - 339. 10.5152/j.aott.2022.22052
MLA DEMIRKOL DENIZHAN,AKTAŞ ŞAMİL,Ozcan Tuncay,Tannier Xavier,Erol Cigdem Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. , 2022, ss.333 - 339. 10.5152/j.aott.2022.22052
AMA DEMIRKOL D,AKTAŞ Ş,Ozcan T,Tannier X,Erol C Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. . 2022; 333 - 339. 10.5152/j.aott.2022.22052
Vancouver DEMIRKOL D,AKTAŞ Ş,Ozcan T,Tannier X,Erol C Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. . 2022; 333 - 339. 10.5152/j.aott.2022.22052
IEEE DEMIRKOL D,AKTAŞ Ş,Ozcan T,Tannier X,Erol C "Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center." , ss.333 - 339, 2022. 10.5152/j.aott.2022.22052
ISNAD DEMIRKOL, DENIZHAN vd. "Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center". (2022), 333-339. https://doi.org/10.5152/j.aott.2022.22052
APA DEMIRKOL D, AKTAŞ Ş, Ozcan T, Tannier X, Erol C (2022). Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. Acta Orthopaedica et Traumatologica Turcica, 56(5), 333 - 339. 10.5152/j.aott.2022.22052
Chicago DEMIRKOL DENIZHAN,AKTAŞ ŞAMİL,Ozcan Tuncay,Tannier Xavier,Erol Cigdem Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. Acta Orthopaedica et Traumatologica Turcica 56, no.5 (2022): 333 - 339. 10.5152/j.aott.2022.22052
MLA DEMIRKOL DENIZHAN,AKTAŞ ŞAMİL,Ozcan Tuncay,Tannier Xavier,Erol Cigdem Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. Acta Orthopaedica et Traumatologica Turcica, vol.56, no.5, 2022, ss.333 - 339. 10.5152/j.aott.2022.22052
AMA DEMIRKOL D,AKTAŞ Ş,Ozcan T,Tannier X,Erol C Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. Acta Orthopaedica et Traumatologica Turcica. 2022; 56(5): 333 - 339. 10.5152/j.aott.2022.22052
Vancouver DEMIRKOL D,AKTAŞ Ş,Ozcan T,Tannier X,Erol C Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center. Acta Orthopaedica et Traumatologica Turcica. 2022; 56(5): 333 - 339. 10.5152/j.aott.2022.22052
IEEE DEMIRKOL D,AKTAŞ Ş,Ozcan T,Tannier X,Erol C "Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center." Acta Orthopaedica et Traumatologica Turcica, 56, ss.333 - 339, 2022. 10.5152/j.aott.2022.22052
ISNAD DEMIRKOL, DENIZHAN vd. "Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center". Acta Orthopaedica et Traumatologica Turcica 56/5 (2022), 333-339. https://doi.org/10.5152/j.aott.2022.22052