Treatment of diabetic foot lesions in hospital: results of 2 successive five-year periods, 1989-1993 and 1994-1998

Diabetes & Metabolism
A BenotmaneT Benkhelifa

Abstract

To assess the impact of an educational training program we initiated in 1994 for GPs about diabetic foot ulcer (DFU) management, we compared the rate and level of lower limb amputation (LLA) in diabetic patients performed in our unit between two consecutive five-year periods, 1989-1993 and 1994-1998. During the first period, 132 patients with 163 lesions (9.2% of the total admissions for diabetes) were compared with 176 with 183 lesions (10.5%) during the second period. Patients' mean age was the same in both periods: 59.6 +/- 11.7 in 1989-1993 and 58.3 +/- 13.1 in 1994-1998 [Not statistically significant, NS]. Patients age, sex ratio, type of diabetes and severity of the lesion (as assessed according to Wagner classification) were essentially the same during the two periods. Most of the foot lesions ( approximately 90%) were purely neuropathic or neuro-ischaemic, with no change in repartition between the two periods. Primary healing was 59.1% in the 1st period and 56.8% in the second. No change in minor and major amputation rate was observed between the 1st period (14.4 and 15.9%, respectively) and the second (11.4 and 16.5%, respectively). The in-hospital mortality rate was unchanged (9.1 vs 8.5%, NS), while the percentage of...Continue Reading

References

May 1, 1990·Diabetes Care·R E PecoraroE M Burgess
Apr 25, 1994·Archives of Internal Medicine·L L HumphreyD J Ballard
Sep 1, 1995·Diabetic Medicine : a Journal of the British Diabetic Association·J LarssonA Stenström
Nov 1, 1996·Journal of Diabetes and Its Complications·W H van HoutumL B Harkless

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Citations

Feb 18, 2014·Diabetes Research and Clinical Practice·Javier Aragón-SánchezMaría José Hernández-Herrero
Sep 29, 2011·BMC Research Notes·Phillipo L ChalyaJaphet M Gilyoma
Mar 18, 2006·The International Journal of Lower Extremity Wounds·Andre Pascal KengneJean Claude Mbanya
Apr 29, 2005·Diabetes/metabolism Research and Reviews

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