Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial Study
Background: Diabetic foot ulcer and potential subsequent lower extremity amputation are major complications of diabetes mellitus and are also prominent morbidity factors that could affect patients’ quality of life. Objectives: This study aimed to assess the prevalence of diabetic foot amputation and...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-01-01
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| Series: | Clinical Medicine Insights: Endocrinology and Diabetes |
| Online Access: | https://doi.org/10.1177/11795514241227618 |
| _version_ | 1797338668110708736 |
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| author | Maryam Aalaa Amir Mohammad Vahdani Mohammadreza Mohajeri Tehrani Neda Mehrdad Mehri Zohdirad Marzieh Sadati Maryam Amini Saeid Mehrpour Mehdi Ebrahimi Bagher Larijani Mohammad Reza Amini Mahnaz Sanjari |
| author_facet | Maryam Aalaa Amir Mohammad Vahdani Mohammadreza Mohajeri Tehrani Neda Mehrdad Mehri Zohdirad Marzieh Sadati Maryam Amini Saeid Mehrpour Mehdi Ebrahimi Bagher Larijani Mohammad Reza Amini Mahnaz Sanjari |
| author_sort | Maryam Aalaa |
| collection | DOAJ |
| description | Background: Diabetic foot ulcer and potential subsequent lower extremity amputation are major complications of diabetes mellitus and are also prominent morbidity factors that could affect patients’ quality of life. Objectives: This study aimed to assess the prevalence of diabetic foot amputation and explore correlates of amputation cause and type among subjects with diabetes mellitus in Tehran, Iran. Methods: A descriptive cross-sectional study was conducted to assess the demographic, sociological, and clinical characteristics of subjects who had undergone lower extremity amputation due to diabetic foot ulcers, from 2011 to 2020, in two educational medical centers in Tehran, Iran. We examined the medical records of 4676 individuals who were admitted to Shariati and Sina hospitals due to diabetic foot issues. Information related to patient demographics (age, gender, marital status), social factors (education level, insurance), and clinical data (medical history, laboratory results, and characteristics of diabetic foot ulcers) was collected for subjects who had undergone lower extremity amputation due to diabetic foot ulcer. The collected data was reported using average values, standard deviations and proportions and analyzed using statistical tests. Results: During one decade, 882 out of 4676 (18.8%) patients with diabetic foot ulcers underwent lower extremity amputations of various types in Sina and Shariati hospitals in Tehran, Iran. Of these, 692 (14.5%) were included for further analysis in the study and the rest were excluded due to lack of sufficient recorded data. About 75.9% of the study population was male, and the average age including both sexes was 60 years. About 92.7% were married, and on average, subjects had been afflicted with diabetes mellitus for 15.1 years. Statistical analysis using Pearson’s chi-square test showed there was a significant association between the treatment regimen for diabetes mellitus and the type of amputation ( P = .01), as well as between the duration of the disease and the cause of amputation ( P = .01) and its type ( P = .04). Conclusion: diabetes mellitus related treatment regimen and duration of disease are significantly associated with amputation cause and type. |
| first_indexed | 2024-03-08T09:34:37Z |
| format | Article |
| id | doaj.art-2c614ae8b6d6452492a8436509b8f7e3 |
| institution | Directory Open Access Journal |
| issn | 1179-5514 |
| language | English |
| last_indexed | 2024-03-08T09:34:37Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Endocrinology and Diabetes |
| spelling | doaj.art-2c614ae8b6d6452492a8436509b8f7e32024-01-30T10:03:22ZengSAGE PublishingClinical Medicine Insights: Endocrinology and Diabetes1179-55142024-01-011710.1177/11795514241227618Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial StudyMaryam Aalaa0Amir Mohammad Vahdani1Mohammadreza Mohajeri Tehrani2Neda Mehrdad3Mehri Zohdirad4Marzieh Sadati5Maryam Amini6Saeid Mehrpour7Mehdi Ebrahimi8Bagher Larijani9Mohammad Reza Amini10Mahnaz Sanjari11Evidence Based Medicine Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranSchool of Medicine, Tehran University of Medical Sciences, Tehran, IranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranElderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Endocrinology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedics and Trauma Surgery, Tehran University of Medical Sciences, Tehran, IranDepartment of Internal Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranDiabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranOsteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranBackground: Diabetic foot ulcer and potential subsequent lower extremity amputation are major complications of diabetes mellitus and are also prominent morbidity factors that could affect patients’ quality of life. Objectives: This study aimed to assess the prevalence of diabetic foot amputation and explore correlates of amputation cause and type among subjects with diabetes mellitus in Tehran, Iran. Methods: A descriptive cross-sectional study was conducted to assess the demographic, sociological, and clinical characteristics of subjects who had undergone lower extremity amputation due to diabetic foot ulcers, from 2011 to 2020, in two educational medical centers in Tehran, Iran. We examined the medical records of 4676 individuals who were admitted to Shariati and Sina hospitals due to diabetic foot issues. Information related to patient demographics (age, gender, marital status), social factors (education level, insurance), and clinical data (medical history, laboratory results, and characteristics of diabetic foot ulcers) was collected for subjects who had undergone lower extremity amputation due to diabetic foot ulcer. The collected data was reported using average values, standard deviations and proportions and analyzed using statistical tests. Results: During one decade, 882 out of 4676 (18.8%) patients with diabetic foot ulcers underwent lower extremity amputations of various types in Sina and Shariati hospitals in Tehran, Iran. Of these, 692 (14.5%) were included for further analysis in the study and the rest were excluded due to lack of sufficient recorded data. About 75.9% of the study population was male, and the average age including both sexes was 60 years. About 92.7% were married, and on average, subjects had been afflicted with diabetes mellitus for 15.1 years. Statistical analysis using Pearson’s chi-square test showed there was a significant association between the treatment regimen for diabetes mellitus and the type of amputation ( P = .01), as well as between the duration of the disease and the cause of amputation ( P = .01) and its type ( P = .04). Conclusion: diabetes mellitus related treatment regimen and duration of disease are significantly associated with amputation cause and type.https://doi.org/10.1177/11795514241227618 |
| spellingShingle | Maryam Aalaa Amir Mohammad Vahdani Mohammadreza Mohajeri Tehrani Neda Mehrdad Mehri Zohdirad Marzieh Sadati Maryam Amini Saeid Mehrpour Mehdi Ebrahimi Bagher Larijani Mohammad Reza Amini Mahnaz Sanjari Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial Study Clinical Medicine Insights: Endocrinology and Diabetes |
| title | Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial Study |
| title_full | Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial Study |
| title_fullStr | Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial Study |
| title_full_unstemmed | Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial Study |
| title_short | Epidemiological Insights into Diabetic Foot Amputation and its Correlates: A Provincial Study |
| title_sort | epidemiological insights into diabetic foot amputation and its correlates a provincial study |
| url | https://doi.org/10.1177/11795514241227618 |
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