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Status and influencing factors of lower limb amputation in patients with diabetic foot ulcer.

Xiaofeng PengDengqun GouLu ZhangHemei WuYu ChenXing ShaoLi LiMing Tao
Published in: International wound journal (2023)
To investigate the influencing factors of lower limb amputation in patients with diabetic foot ulcers. Patients with diabetic foot ulcers who were hospitalised in a tertiary general hospital in Guizhou Province from January 2019 to March 2022 were retrospectively collected. Sociological information of the general population, comorbidities, laboratory-related indicators, and information on the specialty situation, using univariate analysis and multifactor analysis, compared the influencing factors of amputation and non-amputee patients. A total of 205 patients with diabetic foot and 69 ampute patients (33.7%) were enrolled. The univariate analysis found that the decrease in HDL cholesterol levels was associated with the occurrence of lower extremity amputation, and logistic stepwise regression analysis showed that HDL-C was inversely correlated with the amputation rate of patients with diabetic foot ulcers, and the risk of amputation at low levels of HDL-C was 2.452 times higher than that of high-level HDL-C (95% CI: 1.105-5.846). Decreased HDL cholesterol levels are an independent predictor of amputation in patients with diabetic foot ulcers.
Keyphrases
  • lower limb
  • end stage renal disease
  • healthcare
  • newly diagnosed
  • chronic kidney disease
  • peripheral artery disease
  • emergency department
  • south africa
  • social media