Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations

被引:4
作者
Francia, Piergiorgio [1 ]
Gualdani, Elisa [2 ]
Policardo, Laura [2 ]
Bocchi, Leonardo [1 ]
Franconi, Flavia [3 ]
Francesconi, Paolo [2 ]
Seghieri, Giuseppe [2 ]
机构
[1] Univ Florence, Dept Informat Engn, I-50139 Florence, Italy
[2] Agenzia Reg Sanita, Epidemiol Unit, I-50141 Florence, Italy
[3] Univ Sassari, Ist Nazl Biostrutture Biosistemi, Lab Nazl Farmacol & Med Genere, I-07100 Sassari, Italy
关键词
diabetic foot complications; mortality risk; hospitalizations; first ever incident diabetic foot hospital admission; amputations; diabetic foot ulcers; OUTCOMES; DISEASE;
D O I
10.3390/jcm11092454
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
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页数:8
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