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
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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
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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

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