Risk Factors for Foot-Related Hospitalisations in Adults With and Without Diabetes: A Systematic Review.

IF 2.3 3区医学 Q1 ORTHOPEDICS

Journal of Foot and Ankle Research Pub Date : 2026-06-01 DOI:10.1002/jfa2.70164

Sucharitha R Weerasuriya, Chanika Alahakoon, Nimantha Karunathilaka, Yuqi Zhang, Susanna M Cramb, Peter A Lazzarini

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引用次数: 0

Abstract

Introduction: Foot-related conditions are a leading cause of all hospitalisations and amputations worldwide. Half of these foot-related hospitalisations are in people without diabetes. Yet, few studies seem to have explored risk factors for foot-related hospitalisations in populations with or without diabetes. This study aimed to systematically review studies investigating risk factors for hospitalisations caused by any foot-related conditions amongst any general community-dwelling adult populations (with or without diabetes).

Methods: PubMed and Embase databases were searched for studies related to risk factors, foot-related conditions and hospitalisations published since 1st January 2000. Search results were screened for eligibility by two independent authors. Risk of bias was assessed using the Quality in Prognostic Studies tool, and data were extracted using a customised data extraction tool.

Results: Fourteen studies from 7824 screened studies were included. Twelve studies investigated diabetes populations and two general (with and without diabetes) populations. All 14 studies investigated only for foot disease-related hospitalisation outcomes. Seven studies were rated as low risk of bias. Twenty-two independent risk factors were reported, including eight reported both in multiple studies and low risk of bias studies. Those eight risk factors were being male, having diabetes, increased HbA1c, insulin management, chronic kidney disease, peripheral neuropathy, peripheral artery disease and no footcare within 12 months.

Conclusions: This review suggests that the common risk factors for foot disease-related hospitalisations are being male, having diabetes, chronic kidney disease, peripheral neuropathy, peripheral artery disease and lack of footcare, particularly in diabetes populations. There were no studies investigating hospitalisations for other foot-related conditions and few in nondiabetes populations.

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有或无糖尿病成人足部相关住院的危险因素：一项系统综述

脚部相关疾病是全球所有住院和截肢的主要原因。这些与足部有关的住院患者中有一半是没有糖尿病的人。然而，似乎很少有研究探索患有或不患有糖尿病的人群中与足部相关的住院治疗的危险因素。本研究旨在系统地回顾调查由任何足部相关疾病引起的住院风险因素的研究，这些研究在任何普通社区居住的成人人群中（有或没有糖尿病）。方法：检索PubMed和Embase数据库，检索自2000年1月1日以来发表的与危险因素、足部相关疾病和住院有关的研究。搜索结果由两位独立作者筛选。使用预后研究质量工具评估偏倚风险，使用定制的数据提取工具提取数据。结果：7824项筛选研究中纳入14项研究。12项研究调查了糖尿病人群和2项普通人群（有和没有糖尿病）。所有14项研究仅调查足部疾病相关的住院结果。7项研究被评为低偏倚风险。共报道了22个独立的危险因素，其中8个是在多项研究和低风险偏倚研究中报道的。这8个危险因素是男性、患有糖尿病、HbA1c升高、胰岛素管理、慢性肾病、周围神经病变、外周动脉疾病和12个月内未进行足部护理。结论：本综述表明，足病相关住院的常见危险因素是男性、患有糖尿病、慢性肾病、周围神经病变、外周动脉疾病和缺乏足部护理，尤其是在糖尿病人群中。没有研究调查其他足部相关疾病的住院情况，在非糖尿病人群中也很少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Foot and Ankle Research ORTHOPEDICS-

CiteScore

4.50

自引率

10.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.