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Risk assessment of amputation in patients with diabetic foot

The prevalence of diabetes has increased dramatically over the past decade, especially in developing countries, reaching pandemic proportions. Although has been the most important factor influencing the prevalence of type 2 diabetes, the prevalence of type 2 diabetes is on the increase among younger...

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Autores principales: Tanasescu, Denisa, Sabau, Dan, Moisin, Andrei, Gherman, Claudia, Fleaca, Radu, Bacila, Ciprian, Mohor, Calin, Tanasescu, Ciprian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9748709/
https://www.ncbi.nlm.nih.gov/pubmed/36561621
http://dx.doi.org/10.3892/etm.2022.11711
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author Tanasescu, Denisa
Sabau, Dan
Moisin, Andrei
Gherman, Claudia
Fleaca, Radu
Bacila, Ciprian
Mohor, Calin
Tanasescu, Ciprian
author_facet Tanasescu, Denisa
Sabau, Dan
Moisin, Andrei
Gherman, Claudia
Fleaca, Radu
Bacila, Ciprian
Mohor, Calin
Tanasescu, Ciprian
author_sort Tanasescu, Denisa
collection PubMed
description The prevalence of diabetes has increased dramatically over the past decade, especially in developing countries, reaching pandemic proportions. Although has been the most important factor influencing the prevalence of type 2 diabetes, the prevalence of type 2 diabetes is on the increase among younger adults. The subsequent rate of increase with age is variable, which is more evident in societies where the general prevalence of the disease is higher. Based on clinical and statistical data obtained from the patients who were admitted to The First and Second Surgery Wards in the Sibiu County Emergency University Clinical Hospital (Sibiu, Romania) and the Proctoven Clinic (Sibiu, Romania) between January 2018 and December 2020, the present study attempted to devise a risk score that can be applied for the benefit of patients. The ultimate aim was that this risk score may be eventually applied by diabetologists and surgeons to assess the risk of amputation in patients with diabetic foot lesions. An important part in the therapeutic management of diabetic foot injuries is the assessment of risk factors. Using this risk score system devised, the risk factors that were found to exert influence in aggravating diabetic foot injuries are smoking, obesity, dyslipidaemia, unbalanced diabetes mellitus (glycated haemoglobin ≥7.5%), duration of diabetes >5 years, hepatic steatosis and the co-existence of various heart diseases. To conclude, all these risk factors aforementioned can decrease the effectiveness of treatment and can have a significant impact on the quality of life, if they are not well known.
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spelling pubmed-97487092022-12-21 Risk assessment of amputation in patients with diabetic foot Tanasescu, Denisa Sabau, Dan Moisin, Andrei Gherman, Claudia Fleaca, Radu Bacila, Ciprian Mohor, Calin Tanasescu, Ciprian Exp Ther Med Articles The prevalence of diabetes has increased dramatically over the past decade, especially in developing countries, reaching pandemic proportions. Although has been the most important factor influencing the prevalence of type 2 diabetes, the prevalence of type 2 diabetes is on the increase among younger adults. The subsequent rate of increase with age is variable, which is more evident in societies where the general prevalence of the disease is higher. Based on clinical and statistical data obtained from the patients who were admitted to The First and Second Surgery Wards in the Sibiu County Emergency University Clinical Hospital (Sibiu, Romania) and the Proctoven Clinic (Sibiu, Romania) between January 2018 and December 2020, the present study attempted to devise a risk score that can be applied for the benefit of patients. The ultimate aim was that this risk score may be eventually applied by diabetologists and surgeons to assess the risk of amputation in patients with diabetic foot lesions. An important part in the therapeutic management of diabetic foot injuries is the assessment of risk factors. Using this risk score system devised, the risk factors that were found to exert influence in aggravating diabetic foot injuries are smoking, obesity, dyslipidaemia, unbalanced diabetes mellitus (glycated haemoglobin ≥7.5%), duration of diabetes >5 years, hepatic steatosis and the co-existence of various heart diseases. To conclude, all these risk factors aforementioned can decrease the effectiveness of treatment and can have a significant impact on the quality of life, if they are not well known. D.A. Spandidos 2022-11-17 /pmc/articles/PMC9748709/ /pubmed/36561621 http://dx.doi.org/10.3892/etm.2022.11711 Text en Copyright: © Tanasescu et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Tanasescu, Denisa
Sabau, Dan
Moisin, Andrei
Gherman, Claudia
Fleaca, Radu
Bacila, Ciprian
Mohor, Calin
Tanasescu, Ciprian
Risk assessment of amputation in patients with diabetic foot
title Risk assessment of amputation in patients with diabetic foot
title_full Risk assessment of amputation in patients with diabetic foot
title_fullStr Risk assessment of amputation in patients with diabetic foot
title_full_unstemmed Risk assessment of amputation in patients with diabetic foot
title_short Risk assessment of amputation in patients with diabetic foot
title_sort risk assessment of amputation in patients with diabetic foot
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9748709/
https://www.ncbi.nlm.nih.gov/pubmed/36561621
http://dx.doi.org/10.3892/etm.2022.11711
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