Predictors of Lower Extremity Amputation and Reamputation Associated With the Diabetic Foot

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dc.contributor.authorAcar, Erdinc
dc.contributor.authorKacira, Burkay Kutluhan
dc.date.accessioned2024-02-23T14:16:49Z
dc.date.available2024-02-23T14:16:49Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractIn the present study, we aimed to identify the comorbidities that would be predictive of requiring lower extremity amputation or reamputation for diabetic foot wounds. We performed a retrospective review of 132 consecutive patients who had undergone lower extremity amputations (110 patients) or reamputations (22 patients) for diabetic wounds from January 2013 to March 2016. We used multivariate logistic regression to calculate the odds ratios (ORs) for amputation and reamputation for various comorbidities. The ORs of undergoing amputation were greatest for adult males (OR 5.12, 95% confidence interval [CI] 1.56 to 13.04; p = .05) and those with longer term diabetes (OR 4.22, 95% CI 2.01 to 12.95; p = .05), wound infection (OR 3.94, 95% CI 1.04 to 9.00; p = .05), diabetic neuropathy (OR 3.53, 95% CI 1.07 to 9.11; p = .05), and a positive history of smoking (OR 3.04, 95% CI 1.55 to 9.89; p = .05). Similarly, the ORs of undergoing reamputation were greatest for adult males (OR 4.06, 95% CI 1.02 to 12.08; p = .05) and those with longer term diabetes (OR 3.67, 95% CI 1.94 to 11.42; p = .05), wound infection (OR 3.12; 95% CI 0.9 to 8.32; p = .05), diabetic neuropathy (OR 3.01, 95% CI 0.92 to 8.54; p = .05), and a positive history of smoking (OR 2.89, 95% CI 1.09 to 9.42; p = .05). The early identification of these comorbidities could help determine which patients are most likely to require amputation or reamputation. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.en_US
dc.identifier.doi10.1053/j.jfas.2017.06.004
dc.identifier.endpage1222en_US
dc.identifier.issn1067-2516
dc.identifier.issn1542-2224
dc.identifier.issue6en_US
dc.identifier.pmid28765052en_US
dc.identifier.scopus2-s2.0-85026444671en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1218en_US
dc.identifier.urihttps://doi.org/10.1053/j.jfas.2017.06.004
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12818
dc.identifier.volume56en_US
dc.identifier.wosWOS:000414222400017en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Foot & Ankle Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAmputationen_US
dc.subjectComorbidityen_US
dc.subjectDiabetesen_US
dc.subjectPredictoren_US
dc.subjectReamputationen_US
dc.subjectRisk Factoren_US
dc.titlePredictors of Lower Extremity Amputation and Reamputation Associated With the Diabetic Footen_US
dc.typeArticleen_US

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