The aim of this study was to evaluate the risk of death after hospitalizations for diabetic foot (DF) complications, comparing two different cohorts of people with or without a prior history of DF hospitalizations across the years 2011 to 2018 in Tuscany, Italy. The DF complications were categorized by administrative source datasets such as: amputations (both major and minor), gangrene, ulcers, infections, Charcot and revascularizations. A further aim was to present the trend over time of the first ever incidents of diabetic foot hospitalizations in Tuscany. The eight-year-mortality rate was higher in the cohort with prior hospitalizations (n = 6633; 59%) compared with the cohort with first incident DF hospitalizations (n = 5028; 44%). Amputations (especially major ones) and ulcers had the worst effect on survival in people without basal history of DF hospitalizations and respectively in those with a history of prior DF hospitalizations. In both cohorts, revascularization procedures, when compared to ulcers, were associated with a significantly reduced risk of mortality. The prevalence rate of minor amputations showed a slightly rising trend over time. This result agrees with the national trend. Conversely, the progressive increase over time of revascularizations, associated with the fractional decrease in the rate of gangrene, suggests a trend for more proactive behavior by DF care teams in Tuscany.
机构:
Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, EnglandUniv Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
Boulton, AJM
Vileikyte, L
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机构:Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
Vileikyte, L
Ragnarson-Tennvall, G
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机构:Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
Ragnarson-Tennvall, G
Apelqvist, J
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机构:Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
机构:
Taipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
Cheng, Ssu-Wei
Wang, Chin-Yuan
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Taipei Med Univ, Natl Taiwan Univ Hosp, Dept Internal Med, Div Endocrinol & Metab, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
Wang, Chin-Yuan
Chen, Jin-Hua
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Taipei Med Univ, Coll Management, Masters Program Big Data Technol & Management, Biostat Ctr, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
Chen, Jin-Hua
Ko, Yu
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Taipei Med Univ, Dept Pharm, Taipei, Taiwan
Taipei Med Univ, Coll Pharm, Res Ctr Pharmacoecon, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
机构:
Univ Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
Dietrich, Isa
Braga, Gustavo Arruda
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Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
Braga, Gustavo Arruda
de Melo, Fernanda Gomes
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Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
de Melo, Fernanda Gomes
da Costa Silva Silva, Ana Carolina Calmon
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Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
机构:
Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, EnglandUniv Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
Boulton, AJM
Vileikyte, L
论文数: 0引用数: 0
h-index: 0
机构:Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
Vileikyte, L
Ragnarson-Tennvall, G
论文数: 0引用数: 0
h-index: 0
机构:Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
Ragnarson-Tennvall, G
Apelqvist, J
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h-index: 0
机构:Univ Manchester, Manchester Royal Infirm, Dept Med, Manchester M13 9WL, Lancs, England
机构:
Taipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
Cheng, Ssu-Wei
Wang, Chin-Yuan
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Natl Taiwan Univ Hosp, Dept Internal Med, Div Endocrinol & Metab, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
Wang, Chin-Yuan
Chen, Jin-Hua
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h-index: 0
机构:
Taipei Med Univ, Coll Management, Masters Program Big Data Technol & Management, Biostat Ctr, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
Chen, Jin-Hua
Ko, Yu
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Dept Pharm, Taipei, Taiwan
Taipei Med Univ, Coll Pharm, Res Ctr Pharmacoecon, Taipei, TaiwanTaipei Med Univ, Shin Kong Wu Ho Su Mem Hosp, Dept Pharm, Taipei, Taiwan
机构:
Univ Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
Dietrich, Isa
Braga, Gustavo Arruda
论文数: 0引用数: 0
h-index: 0
机构:
Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
Braga, Gustavo Arruda
de Melo, Fernanda Gomes
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h-index: 0
机构:
Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil
de Melo, Fernanda Gomes
da Costa Silva Silva, Ana Carolina Calmon
论文数: 0引用数: 0
h-index: 0
机构:
Org Oswaldo Cruz German Hosp, Div Obes & Diabet Ctr, R Cincinato Braga,37 5th Floor, BR-01246903 Sao Paulo, BrazilUniv Sao Paulo, Sch Med, Liver Pancreas & Islets Transplantat, Dept Gastroenterol,Surg Div, LIM 37,Av Dr Arnaldo 455 3rd Floor Suite 3208, BR-01246903 Sao Paulo, Brazil