| Comparison of post amputation outcome in patients with type 2 diabetes from specialized foot care centres in three developing countries. | |
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MedLine Citation:
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PMID: 20299119 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Vijay Viswanathan; Jawadur Rahim Wadud; Sivagami Madhavan; Seena Rajasekar; Satyavani Kumpatla; J K Lutale; Zulfiqarali G Abbas |
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Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study Date: 2010-03-17 |
Journal Detail:
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Title: Diabetes research and clinical practice Volume: 88 ISSN: 1872-8227 ISO Abbreviation: Diabetes Res. Clin. Pract. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-26 Completed Date: 2010-08-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508335 Medline TA: Diabetes Res Clin Pract Country: Ireland |
Other Details:
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Languages: eng Pagination: 146-50 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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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:
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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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