Risk factors for amputation in patients with diabetic foot infection: a prospective study
Küçük Resim Yok
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
There is a variety of diagnostic and therapeutic algorithms for diabetic foot infections (DFIs). Some of them are too difficult to be applied in routine clinical approach. In the routine clinical approach, it is necessary to find new risk factors and end up with a quick and easy assessment of DFIs. In this study, we aimed to evaluate the independent risk factors for osteomyelitis, amputation and major amputation in patients with DFI using standard scoring procedures. We prospectively studied 379 patients with DFI. The variables were analysed using logistic analysis. A total of 126 cases (332%) underwent amputation. The odds ratios in the amputation model were 309 for osteomyelitis (P < 0001), 490 for arterial stenosis (AS) (P < 0001), 367 for the history of DFI (P = 0001), 247 for ulcer duration >60 days (P = 0001), 310 for ulcer depth > 15 mm (P < 0001) and 1028 for fungal DFI (P = 0015). In this study, the unusual result of well-known literature was fungal DFI as an independent risk factor for amputation in patients with DFI.
Açıklama
Anahtar Kelimeler
Amputation, Diabetic foot, Fungal infection, Osteomyelitis, Wound depth, Wound duration
Kaynak
International Wound Journal
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
14
Sayı
6
