Document Detail


Comparison of post amputation outcome in patients with type 2 diabetes from specialized foot care centres in three developing countries.
MedLine Citation:
PMID:  20299119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate post amputation outcome and associated complications in type 2 diabetic patients who had undergone major amputations in developing countries. PATIENTS AND METHODS: A total of 526 (M:F; 369:157) subjects from three centers [India (IND), n=194, Bangladesh (BAN) n=177 and Tanzania (TAN) n=155 who had undergone amputation and subsequently visited the hospital were included in this analysis. Details on foot problems and associated complications were recorded. RESULTS: The prevalence of amputations was similar in all centres. The history of minor amputation and foot deformity was high in BAN. Recurrence of foot ulceration was more in TAN (30%) than in IND (9%) and BAN (11%). Re-amputation rate was similar in all groups (3%). The use of artificial limb was most in BAN (97%). Myocardial infarction was more prevalent in IND (15%). In Tanzania, 31% had died during the follow-up period and it was 16% and 5% in IND and BAN. The causes of death were infection due to septicemia and cardiovascular events which finally led to multisystem organ failure. CONCLUSION: The outcome following a major diabetic foot amputation was compared in three developing countries. Recurrence of foot infection was common in Tanzania. The most frequent causes of death were infection and cardiovascular events.
Authors:
Vijay Viswanathan; Jawadur Rahim Wadud; Sivagami Madhavan; Seena Rajasekar; Satyavani Kumpatla; J K Lutale; Zulfiqarali G Abbas
Related Documents :
17592699 - Forefoot amputation with limb revascularization: the effects of amputation, timing, and...
8411469 - Surgery for chronic lower extremity ischemia in patients eighty or more years of age: o...
19328029 - Selective and sustained delivery of basic fibroblast growth factor (bfgf) for treatment...
7850539 - Functional morbidity of hyperthermic isolated regional perfusion of the extremities.
2349749 - A clinicopathological review of spinal ependymomas in northern ireland.
20462719 - Below the knee pta in critical limb ischemia results after 12 months: single center exp...
18850089 - Medial opening wedge high-tibial osteotomy using a kinematic navigation system versus a...
18157969 - Results of percutaneous coronary intervention of the unprotected left main coronary art...
22928309 - Influence of intensity and duration of regulated deficit irrigation on erythroneura ele...
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study     Date:  2010-03-17
Journal Detail:
Title:  Diabetes research and clinical practice     Volume:  88     ISSN:  1872-8227     ISO Abbreviation:  Diabetes Res. Clin. Pract.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508335     Medline TA:  Diabetes Res Clin Pract     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  146-50     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
M.V. Hospital for Diabetes and Diabetes Research Centre, WHO Collaborating Centre for Research, Education &Training in Diabetes, Royapuram, Chennai, India. drvijay@mvdiabetes.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Amputation*
Bangladesh / epidemiology
Cardiovascular Diseases
Cause of Death
Developing Countries
Diabetes Mellitus, Type 2 / complications*
Diabetic Foot / epidemiology,  surgery*
Female
Humans
India / epidemiology
Infection
Male
Middle Aged
Recurrence
Tanzania / epidemiology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pulmonary veins of the patients with atrial fibrillation: Dual-source computed tomography evaluation...
Next Document:  Association between screen time and metabolic syndrome in children and adolescents in Korea: The 200...