당뇨병성 족부 궤양 환자의 진단 1년 내의 절단율 및 위험 인자의 분석

Purpose: This study investigates the amputation rate within 1 year after the diagnosis of diabetic foot ulcer and its associated risk factors. Materials and Methods: This study enrolled 60 patients with diabetic foot ulcer. The mean and standard deviation age was $64.4{\pm}12.8years$ (range, 32~89 y...

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Published in:대한족부족관절학회지 Vol. 20; no. 3; pp. 121 - 125
Main Authors: 천동일, 전민철, 최성우, 김용범, 노재휘, 원성훈, Chun, Dong-Il, Jeon, Min Chul, Choi, Sung-Woo, Kim, Yong-Beom, Nho, Jae-Hwi, Won, Sung Hun
Format: Journal Article
Language:Korean
Published: 대한족부족관절학회 01.09.2016
Subjects:
정형외과학
Amputation rate
Diabetic foot ulcer
Risk factor
ISSN:1738-3757, 2288-8551
Online Access:Get full text
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Summary:Purpose: This study investigates the amputation rate within 1 year after the diagnosis of diabetic foot ulcer and its associated risk factors. Materials and Methods: This study enrolled 60 patients with diabetic foot ulcer. The mean and standard deviation age was $64.4{\pm}12.8years$ (range, 32~89 years); the mean and standard deviation prevalence period for diabetes mellitus was $21.0{\pm}7.5years$ (range, 0.5~36 years). The amputation rate was evaluated by dividing the subjects into two groups - the major and minor amputation groups - within 1 year following the initial diagnosis of diabetic foot ulcer. Multivariate Cox proportional hazards regression analysis was used to identify the risk factors for amputation. Results: The total amputation rate of 38.3% (n=23) was comprised of the amputation rate for the major amputation group (10.0%) and rate for the minor amputation group (23.8%). There was a high correlation between peripheral artery disease (toe brachial pressure index <0.7) and amputation (hazard ratio [HR] 5.81, confidence interval [CI] 2.09~16.1, p<0.01). Nephropathy was significantly correlated with the amputation rate (HR 3.53, CI 1.29~9.64, p=0.01). Conclusion: Clinicians who treat patients with diabetic foot complications must understand the fact that the amputation rate within 1 year is significant, and that the amputation rate of patients with peripheral artery disease or nephropathy is especially high.
Bibliography:KISTI1.1003/JNL.JAKO201634158662579
G704-SER000010535.2016.20.3.001
http://dx.doi.org/10.14193/jkfas.2016.20.3.121
ISSN:1738-3757
2288-8551
DOI:10.14193/jkfas.2016.20.3.121