OBJECTIVE: Lower extremity amputation is an increasing problem among diabetic patients and an important public health problem. The study purpose was to identify factors associated with lower extremity amputation. METHODS: A matched case-control study was carried out among diabetic patients. Cases were selected in public health programs of the city of São Paulo, Brazil. One hundred and seventeen cases of diabetics with lower extremity amputation were compared to 234 controls of diabetics without amputation, matched by sex, age, and duration of disease. Sociodemographic variables, life habits (smoking and alcohol drinking), clinical aspects, and health education in diabetes were included. Univariate analyses and conditional logistic regression method were applied to data. RESULTS: Data showed evidence of association for: smoking, last glucose test > or = 200 mg/dl, presence of peripheral somatic neuropathy and vibratory perception (tuning fork 128 Hz), and peripheral vascular disease. Diabetes treatment and attending nursing appointments for diabetes education were important factors for preventing lower extremity amputation in diabetic patients. CONCLUSIONS: The knowledge of determinants and intervening factors for this condition will lead to cost reduction and better quality of care delivered in public health services.
OBJECTIVE: Lower extremity amputation is an increasing problem among diabeticpatients and an important public health problem. The study purpose was to identify factors associated with lower extremity amputation. METHODS: A matched case-control study was carried out among diabeticpatients. Cases were selected in public health programs of the city of São Paulo, Brazil. One hundred and seventeen cases of diabetics with lower extremity amputation were compared to 234 controls of diabetics without amputation, matched by sex, age, and duration of disease. Sociodemographic variables, life habits (smoking and alcohol drinking), clinical aspects, and health education in diabetes were included. Univariate analyses and conditional logistic regression method were applied to data. RESULTS: Data showed evidence of association for: smoking, last glucose test > or = 200 mg/dl, presence of peripheral somatic neuropathy and vibratory perception (tuning fork 128 Hz), and peripheral vascular disease. Diabetes treatment and attending nursing appointments for diabetes education were important factors for preventing lower extremity amputation in diabeticpatients. CONCLUSIONS: The knowledge of determinants and intervening factors for this condition will lead to cost reduction and better quality of care delivered in public health services.
Authors: Khalid Al-Rubeaan; Mohammad Al Derwish; Samir Ouizi; Amira M Youssef; Shazia N Subhani; Heba M Ibrahim; Bader N Alamri Journal: PLoS One Date: 2015-05-06 Impact factor: 3.240
Authors: Claire M Buckley; Fauzi Ali; Graham Roberts; Patricia M Kearney; Ivan J Perry; Colin P Bradley Journal: BMJ Open Date: 2013-10-29 Impact factor: 2.692
Authors: Claire M Buckley; Fauzi Ali; Graham A Roberts; Patricia M Kearney; Ivan J Perry; Colin P Bradley Journal: BMJ Open Diabetes Res Care Date: 2015-08-26
Authors: Wendel Jose Teixeira Costa; Nilson Penha-Silva; Italla Maria Pinheiro Bezerra; Ismar Paulo Dos Santos; José Lucas Souza Ramos; Jonathan Mendes de Castro; Júlio Eduardo Gomes Pereira; Alan Patrício da Silva; Adilson Monteiro; Luiz Carlos de Abreu Journal: Medicina (Kaunas) Date: 2020-06-11 Impact factor: 2.430