P.22 98例就诊于专科足病诊所的1型糖尿病(T1DM)和2型糖尿病(T2DM)患者的死亡率:足部溃疡位置是一个独立的风险决定因素

IF 0.9 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Artery Research Pub Date : 2020-12-01 DOI:10.2991/artres.k.201209.035

Heather Schofield, S. Haycocks, A. Robinson, S. Anderson, A. Heald

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引用次数: 0

摘要

结果：17人（17人）患有1型糖尿病（T1DM），81人患有2型糖尿病（T2DM）。31人为女性。平均年龄（范围）为63.6（28-90）岁，糖尿病最长持续时间为45年。平均HbA1c为72（95%CI:67-77）mmol/mol。97%患有神经病变（糖尿病足国际工作组（IWGDF）单丝）[2]。62%的患者有血管功能不全（多普勒研究）。69%的溃疡在前脚，23%的溃疡在后脚。40/98（39.2%）在随访中死亡，27%的死亡证明包括败血症（与足部无关）和35%的肾衰竭。多元回归分析表明，后脚溃疡的死亡风险增加了6.3倍（95%CI:3.9-8.1），与年龄/BMI/性别/HbA1c/eGFR/总胆固醇水平无关。

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P.22 Mortality in 98 Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) Individuals Presenting to a Specialist Podiatry Clinic: Foot Ulcer Location is an Independent Risk Determinant

Results: Seventeen people (17) had type 1 diabetes mellitus (T1DM), and 81 had type 2 diabetes mellitus (T2DM). 31 were women. The mean age (range) was 63.6 (28–90) years with maximum diabetes duration 45 years. Mean HbA1c was 72 (95% CI: 67–77) mmol/mol. 97% had neuropathy (International Working Group on the Diabetic Foot (IWGDF) monofilament) [2]. 62% had vascular insufficiency (Doppler studies). 69% of ulcers were forefoot and 23% of ulcers were hind foot in location. 40/98 (39.2%) died in follow-up with 27% of death certificates including sepsis (not foot-related) and 35% renal failure as cause of death. Multivariate regression analysis indicated a 6.3 (95% CI: 3.9–8.1) fold increased risk of death with hind foot ulcer, independent of age/BMI/gender/HbA1c/eGFR/total cholesterol level.

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来源期刊

Artery Research Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.70

自引率

16.70%

发文量

审稿时长

13 weeks

期刊介绍： Artery Research is the official journal of the Association for Research into Arterial Structure and Physiology (ARTERY) which promotes the advancement of knowledge and dissemination of information concerning the pathophysiology, epidemiology, detection, investigation and treatment of arterial structure and function. The journal publishes original research articles, review articles, perspectives, case-studies, letters to the Editor, short communications and images. All submitted material is subject to a strict peer-review process.