Retrospective study of the evolution of the incidence of non-traumatic lower-extremity amputations (2007–2013) and risk factors of reamputation

  1. Font-Jiménez, Isabel 1
  2. Llaurado-Serra, Mireia 1
  3. Roig-Garcia, Montserrat 2
  4. De los Mozos-Perez, Belen 2
  5. Acebedo-Urdiales, Sagrario 1
  1. 1 Universitat Rovira i Virgili
    info

    Universitat Rovira i Virgili

    Tarragona, España

    ROR https://ror.org/00g5sqv46

  2. 2 Hospital Universitari de Tarragona Joan XXIII
    info

    Hospital Universitari de Tarragona Joan XXIII

    Tarragona, España

    ROR https://ror.org/05s4b1t72

Revista:
Primary Care Diabetes

ISSN: 1751-9918

Año de publicación: 2016

Volumen: 10

Número: 6

Páginas: 434-441

Tipo: Artículo

DOI: 10.1016/J.PCD.2016.04.001 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Primary Care Diabetes

Resumen

AimDescribe the incidence of non-traumatic amputation in a Spain region and identify the risk factors associated with the level of amputation and reamputation.MethodsRetrospective study on non-traumatic lower-extremity amputees in a Spanish region between 2007 and 2013. A descriptive, bivariate and multivariate analysis was performed using bivariate logistic regression. Statistical significance p ≤ 0.05, SPSS V.21.Results495 amputations were carried out in 353 patients. 81.0% (n = 286) were men, mean age 68.7 ± 10.8 years. The most frequent levels of amputation were digital (45.9%) and above-knee (40.5%). About 30% of the patients were reamputated. The multivariate analysis revealed that the factors independently related to the need for a minor lower-extremity amputation were DM [OR 3.79 (CI 95% 2.0–7.27)], foot ulcer [OR 5.82 (CI 95% 2.24–15.11)] and previous ipsilateral amputation [OR 3.19 (CI 95% 1.21–8.42)]. The risk factors independently related to the need for reamputation were DM [OR 2.21 (CI95% 1.09–4.49)], smoking [OR 2.45 (CI95% 1.33–4.50)] and previous revascularization [OR 2.75 (CI95% 1.57–4.83)].ConclusionsDetermining the incidence of amputations in diabetic patients as an indicator of quality makes it possible for health services to be evaluated. In patients with DM the most common reamputations are minor and ipsilateral.

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