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Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations

The aim of this study was to evaluate the risk of death after hospitalizations for diabetic foot (DF) complications, comparing two different cohorts of people with or without a prior history of DF hospitalizations across the years 2011 to 2018 in Tuscany, Italy. The DF complications were categorized...

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Autores principales: Francia, Piergiorgio, Gualdani, Elisa, Policardo, Laura, Bocchi, Leonardo, Franconi, Flavia, Francesconi, Paolo, Seghieri, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105877/
https://www.ncbi.nlm.nih.gov/pubmed/35566581
http://dx.doi.org/10.3390/jcm11092454
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author Francia, Piergiorgio
Gualdani, Elisa
Policardo, Laura
Bocchi, Leonardo
Franconi, Flavia
Francesconi, Paolo
Seghieri, Giuseppe
author_facet Francia, Piergiorgio
Gualdani, Elisa
Policardo, Laura
Bocchi, Leonardo
Franconi, Flavia
Francesconi, Paolo
Seghieri, Giuseppe
author_sort Francia, Piergiorgio
collection PubMed
description The aim of this study was to evaluate the risk of death after hospitalizations for diabetic foot (DF) complications, comparing two different cohorts of people with or without a prior history of DF hospitalizations across the years 2011 to 2018 in Tuscany, Italy. The DF complications were categorized by administrative source datasets such as: amputations (both major and minor), gangrene, ulcers, infections, Charcot and revascularizations. A further aim was to present the trend over time of the first ever incidents of diabetic foot hospitalizations in Tuscany. The eight-year-mortality rate was higher in the cohort with prior hospitalizations (n = 6633; 59%) compared with the cohort with first incident DF hospitalizations (n = 5028; 44%). Amputations (especially major ones) and ulcers had the worst effect on survival in people without basal history of DF hospitalizations and respectively in those with a history of prior DF hospitalizations. In both cohorts, revascularization procedures, when compared to ulcers, were associated with a significantly reduced risk of mortality. The prevalence rate of minor amputations showed a slightly rising trend over time. This result agrees with the national trend. Conversely, the progressive increase over time of revascularizations, associated with the fractional decrease in the rate of gangrene, suggests a trend for more proactive behavior by DF care teams in Tuscany.
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spelling pubmed-91058772022-05-14 Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations Francia, Piergiorgio Gualdani, Elisa Policardo, Laura Bocchi, Leonardo Franconi, Flavia Francesconi, Paolo Seghieri, Giuseppe J Clin Med Article The aim of this study was to evaluate the risk of death after hospitalizations for diabetic foot (DF) complications, comparing two different cohorts of people with or without a prior history of DF hospitalizations across the years 2011 to 2018 in Tuscany, Italy. The DF complications were categorized by administrative source datasets such as: amputations (both major and minor), gangrene, ulcers, infections, Charcot and revascularizations. A further aim was to present the trend over time of the first ever incidents of diabetic foot hospitalizations in Tuscany. The eight-year-mortality rate was higher in the cohort with prior hospitalizations (n = 6633; 59%) compared with the cohort with first incident DF hospitalizations (n = 5028; 44%). Amputations (especially major ones) and ulcers had the worst effect on survival in people without basal history of DF hospitalizations and respectively in those with a history of prior DF hospitalizations. In both cohorts, revascularization procedures, when compared to ulcers, were associated with a significantly reduced risk of mortality. The prevalence rate of minor amputations showed a slightly rising trend over time. This result agrees with the national trend. Conversely, the progressive increase over time of revascularizations, associated with the fractional decrease in the rate of gangrene, suggests a trend for more proactive behavior by DF care teams in Tuscany. MDPI 2022-04-27 /pmc/articles/PMC9105877/ /pubmed/35566581 http://dx.doi.org/10.3390/jcm11092454 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Francia, Piergiorgio
Gualdani, Elisa
Policardo, Laura
Bocchi, Leonardo
Franconi, Flavia
Francesconi, Paolo
Seghieri, Giuseppe
Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations
title Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations
title_full Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations
title_fullStr Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations
title_full_unstemmed Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations
title_short Mortality Risk Associated with Diabetic Foot Complications in People with or without History of Diabetic Foot Hospitalizations
title_sort mortality risk associated with diabetic foot complications in people with or without history of diabetic foot hospitalizations
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105877/
https://www.ncbi.nlm.nih.gov/pubmed/35566581
http://dx.doi.org/10.3390/jcm11092454
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