PMID: 8946185Nov 1, 1996Paper

Benchmark analysis on diabetics at high risk for lower extremity amputation

Foot & Ankle International
M S PinzurL Vrbos

Abstract

After the 1990 establishment of a multidisciplinary foot salvage clinic, 1346 diabetic patients, at high risk for the development of foot ulcers and eventual lower limb amputation, were followed for 4 years. Of the 224 high-risk patients admitted to the hospital, 74 amputations (5.5%) of all or part of a lower limb were performed. Patients undergoing amputation were younger, more severely ill, and required more frequent hospitalizations because of greater organ system involvement. They were also more likely to be institutionalized after discharge. Overall, patients with long-standing adult-onset diabetes, identified as at high risk for foot ulcer development, have a substantially increased risk for lower limb amputation, multiple organ system failure, hospitalization, and institutionalization than do diabetic patients as a whole. Clinical benchmarking facilitates the identification and reduction of unnecessary variations in patient care practices. Here, a formal benchmark analysis provides the current outcome expectations for amputation rates and co-morbidities in patients with diabetes who are classified as at high risk for lower extremity amputation. Management of these patients in a structured, multidisciplinary foot salvage...Continue Reading

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Citations

Jan 1, 2011·Diabetic Foot & Ankle·Fábio BatistaFabíola Batista
Jan 1, 2008·Clinics in Podiatric Medicine and Surgery·Patrick R Burns, Dane K Wukich
Aug 11, 2016·JBJS Reviews·Michael S PinzurDavid H Slade
Dec 3, 1999·Foot & Ankle International·M S PinzurM Suri
Aug 5, 2000·Foot & Ankle International·R G Frykberg
Jun 23, 2001·Journal of the American Podiatric Medical Association·R A SageS G Fisher
Sep 19, 2002·Journal of the American Podiatric Medical Association·Chad DeNamur, Guy Pupp
Apr 8, 2004·The Journal of Bone and Joint Surgery. American Volume·Charles L SaltzmanStephen L Hillis
Feb 1, 2005·Foot & Ankle International·Michael S PinzurUNKNOWN Diabetes Committee of American Orthopaedic Foot and Ankle Society
Oct 6, 2001·Foot & Ankle International·G T RevealF M Reeve
Oct 6, 2001·Foot & Ankle International·M S PinzurM Emanuel

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