Yıl: 2021 Cilt: 4 Sayı: 1 Sayfa Aralığı: 49 - 54 Metin Dili: İngilizce DOI: 10.32322/jhsm.809986 İndeks Tarihi: 02-08-2021

An evaluation of risk factors affecting amputation in patients with diabetic foot infection

Öz:
Introduction: Diabetic foot infections are one of the most common complications of diabetes and generally result in lowerextremity amputations.Aim: The purpose of this study is to investigate risk factors affecting amputation in patients diagnosed with diabetic foot ulcer.Material and Method: This prospective cohort study involved 137 patients diagnosed with diabetic foot infection in a universityhospital diabetic foot clinic.Results: The mean age of the participants was 60.5±10.1 years, and 70.8% (n=97) were men. The majority of patients (62.0%)were educated to elementary or middle school level, while 26.3% were illiterate. Mean duration of diabetes was 13.3±6.2years. Hypertension was present in 48.2% of patients, hypercholesterolemia in 31.4%, cardiovascular disease (CVD) in 38%,peripheral artery disease (PAD) in 21.2%, peripheral venous insufficiency in 10.2%, and polyneuropathy in 70.1%, and 9.5%were receiving hemodialysis. According to the PEDIS classification, moderate foot ulcers were present in 60.6% of patients, mildulcers in 34.3%, and severe ulcers in 5.1%. Forty-six percent of patients were diagnosed with osteomyelitis during follow-up.Amputation was present in 28.5% (n=39) of the patients followed-up due to foot ulcers. PAD increased the risk of amputation2.7-fold (95% CI: 1.02-7.14), osteomyelitis 2.6-fold (95% CI: 1.10-6.16), and repeated hospitalizations 5.9-fold (95% CI: 2.25-15.33). Growth was observed in 72.6% of patients without amputation, 76.5% were polymicrobial, and 65.9% of antibiogramresults were multidrug resistant. No significant difference was observed among the patients in terms of multidrug resistance(p=0.468).Conclusion: PAD, osteomyelitis, and history of repeated hospitalizations are separate risk factors for amputation in patientswith diabetic foot ulcers.
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APA Alay H, Yılmaz S, KESMEZ CAN F, Parlak M (2021). An evaluation of risk factors affecting amputation in patients with diabetic foot infection. , 49 - 54. 10.32322/jhsm.809986
Chicago Alay Handan,Yılmaz Sinan,KESMEZ CAN Fatma,Parlak Mehmet An evaluation of risk factors affecting amputation in patients with diabetic foot infection. (2021): 49 - 54. 10.32322/jhsm.809986
MLA Alay Handan,Yılmaz Sinan,KESMEZ CAN Fatma,Parlak Mehmet An evaluation of risk factors affecting amputation in patients with diabetic foot infection. , 2021, ss.49 - 54. 10.32322/jhsm.809986
AMA Alay H,Yılmaz S,KESMEZ CAN F,Parlak M An evaluation of risk factors affecting amputation in patients with diabetic foot infection. . 2021; 49 - 54. 10.32322/jhsm.809986
Vancouver Alay H,Yılmaz S,KESMEZ CAN F,Parlak M An evaluation of risk factors affecting amputation in patients with diabetic foot infection. . 2021; 49 - 54. 10.32322/jhsm.809986
IEEE Alay H,Yılmaz S,KESMEZ CAN F,Parlak M "An evaluation of risk factors affecting amputation in patients with diabetic foot infection." , ss.49 - 54, 2021. 10.32322/jhsm.809986
ISNAD Alay, Handan vd. "An evaluation of risk factors affecting amputation in patients with diabetic foot infection". (2021), 49-54. https://doi.org/10.32322/jhsm.809986
APA Alay H, Yılmaz S, KESMEZ CAN F, Parlak M (2021). An evaluation of risk factors affecting amputation in patients with diabetic foot infection. Journal of health sciences and medicine (Online), 4(1), 49 - 54. 10.32322/jhsm.809986
Chicago Alay Handan,Yılmaz Sinan,KESMEZ CAN Fatma,Parlak Mehmet An evaluation of risk factors affecting amputation in patients with diabetic foot infection. Journal of health sciences and medicine (Online) 4, no.1 (2021): 49 - 54. 10.32322/jhsm.809986
MLA Alay Handan,Yılmaz Sinan,KESMEZ CAN Fatma,Parlak Mehmet An evaluation of risk factors affecting amputation in patients with diabetic foot infection. Journal of health sciences and medicine (Online), vol.4, no.1, 2021, ss.49 - 54. 10.32322/jhsm.809986
AMA Alay H,Yılmaz S,KESMEZ CAN F,Parlak M An evaluation of risk factors affecting amputation in patients with diabetic foot infection. Journal of health sciences and medicine (Online). 2021; 4(1): 49 - 54. 10.32322/jhsm.809986
Vancouver Alay H,Yılmaz S,KESMEZ CAN F,Parlak M An evaluation of risk factors affecting amputation in patients with diabetic foot infection. Journal of health sciences and medicine (Online). 2021; 4(1): 49 - 54. 10.32322/jhsm.809986
IEEE Alay H,Yılmaz S,KESMEZ CAN F,Parlak M "An evaluation of risk factors affecting amputation in patients with diabetic foot infection." Journal of health sciences and medicine (Online), 4, ss.49 - 54, 2021. 10.32322/jhsm.809986
ISNAD Alay, Handan vd. "An evaluation of risk factors affecting amputation in patients with diabetic foot infection". Journal of health sciences and medicine (Online) 4/1 (2021), 49-54. https://doi.org/10.32322/jhsm.809986