A clinical analysis of diabetic patients with hand ulcer in a diabetic foot centre.

Diabetic Medicine : a Journal of the British Diabetic Association
C WangX Ran

Abstract

The aim of the study was to explore the prevalence and clinical characteristics of hand ulcer in hospitalized patients with diabetes. We analysed 17 subjects with hand ulcer among diabetic inpatients, who were admitted to the Diabetic Foot Care Center, Department of Endocrinology and Metabolism at the West China Hospital of Sichuan University from April 2003 to December 2008. The prevalence of diabetic hand ulcer among hospitalized patients (0.37%) was significantly lower than that of diabetic foot ulcers (9.7%, P = 0.000). The mean age was 62.1 +/- 9.4 years. The average known durations of diabetes and glycated haemoglobin (HbA(1c)) were 5.3 +/- 4.9 years and 10.9 +/- 2.4%, respectively. All patients lived in the subtropical zone. Fifteen patients (88.2%) were diagnosed with diabetic peripheral neuropathy. Ten patients had hand infection. After therapy, the ulcers healed in 13 patients (76.5%) and none of them experienced amputation. The average hospital stay for patients with local infection was characteristically longer than that for patients without infection (P = 0.012). The prognosis of the hand ulcer was poorer in the patients who had diabetes for > 3 years compared with those who had diabetes for < 3 years (P = 0.009). ...Continue Reading

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Citations

Oct 26, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Chew-Wei ChongAgnes Beng-Hoi Tan
Feb 2, 2011·The Medical Clinics of North America·Jonathan Shaw
Aug 9, 2016·The Lancet. Diabetes & Endocrinology·Reinout van CrevelDavid A J Moore
Oct 13, 2016·Indian Journal of Endocrinology and Metabolism·Sreekanth RaveendranNihal Thomas
Aug 7, 2012·The International Journal of Lower Extremity Wounds·Ming TianYuzhi Jiang
May 25, 2013·Journal of Wound Care·K C JiangA P Wang
Aug 29, 2019·Rheumatology Advances in Practice·Bernardo MarquesHeidi Gruner
Nov 5, 2020·Dermatologic Therapy·Işıl Göğem İmrenŞeniz Duygulu
Sep 3, 2021·The Journal of Hand Surgery, European Volume·Yong-Zheng Jonathan TingMala Satku

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Methods Mentioned

BETA
amputation

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SPSS

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