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Risk factors for mortality among patients undergoing major amputations due to infected diabetic feet.
Cardoso, Natália Anício; Cisneros, Ligia de Loiola; Machado, Carla Jorge; Procópio, Ricardo Jayme; Navarro, Túlio Pinho.
Afiliação
  • Cardoso NA; Universidade Federal de Minas Gerais - UFMG, Programa de Pós-graduação Ciências Aplicadas à Cirurgia e à Oftalmologia, Belo Horizonte, MG, Brasil.
  • Cisneros LL; Universidade Federal de Minas Gerais - UFMG, Departamento de Fisioterapia, Belo Horizonte, MG, Brasil.
  • Machado CJ; Universidade Federal de Minas Gerais - UFMG, Departamento de Medicina Preventiva e Social, Belo Horizonte, MG, Brasil.
  • Procópio RJ; Hospital Risoleta Tolentino Neves, Cirurgia Vascular, Belo Horizonte, MG, Brasil.
  • Navarro TP; Universidade Federal de Minas Gerais - UFMG, Departamento de Cirurgia, Belo Horizonte, MG, Brasil.
J Vasc Bras ; 17(4): 296-302, 2018.
Article em En | MEDLINE | ID: mdl-30787947
BACKGROUND: Foot ulcers in patients with diabetes are a major public health problem and are often associated with lower limbs amputation and mortality in this population. OBJECTIVES: To investigate the risk factors associated with mortality in patients with infected diabetic foot ulcers and major lower limb amputations. METHODS: This was an observational, retrospective, case-control study with a sample of 78 patients with infected diabetic foot ulcers who had major lower limb amputations at a Vascular Surgery Service at a university hospital. RESULTS: The mean age of the study sample was 63.8 ± 10.5 years, 54 (69.2%) were male, mean serum creatinine was 2.49 ± 2.4 mg/dL and mean serum hemoglobin was 7.36 ± 1.7 g/dL. There was a 47.4% rate of readmissions to the same hospital. Transtibial amputation was performed in 59.0%; and transfemoral amputation in 39.7% of the sample. In this sample, 87.2% had a positive culture, predominantly (68.0%) monomicrobial and nosocomial infection of ulcers was observed in 30.8%. The most common bacterial genera were Acinetobacter spp. (24.4%), Morganella spp. (24.4%) and Proteus spp. (23.1%). No bacterial genus was identified as a predictor of death. Creatinine level ≥ 1.3 mg/dL (OR 17.8; IC 2.1-150) and transfemoral amputation (OR 4.5; IC: 1.3-15.7) were associated with death. CONCLUSIONS: Serum creatinine levels ≥ 1.3 mg/dL and transfemoral amputation were risk factors for death.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Vasc Bras Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Vasc Bras Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil