Abstract
The purpose of this study is to identify in-hospital mortality of diabetic amputees and the disposition of survivors in The Netherlands in 1991 and 1992. A database including all hospitalizations in The Netherlands was used. Amputees who died while in the hospital were analysed separately. Survivors were categorized according to different types of discharge: home, nursing home, rehabilitation facility, and other health care facilities. Overall 9.0% of diabetic amputees died while in hospital. The age-adjusted mortality incidence for the diabetic population was 36.3 per 1000 diabetic amputees (95% CI: 18.7-53.9) and 28.2 per 1000 non-diabetic amputees (95% CI: 20.5-35.9). Non-diabetic amputees with PVD had proportionally more mortality than diabetic amputees with PVD (P < 0.01), diabetic amputees without PVD (P < 0.01), and non-diabetic amputees without PVD (P < 0.001). Using Cox regression analysis age (B(age) = 0.023, RR = 1.024) and the occurrence of multiple amputations during the hospitalization (B(multiple) 0.325, RR = 1.383) were significant negative predictors for survival. As age and level of amputation increased, more diabetic and non-diabetic amputees were discharged to facilities other than home (P < 0.001).
Original language | English (US) |
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Pages (from-to) | 192-197 |
Number of pages | 6 |
Journal | Diabetic Medicine |
Volume | 13 |
Issue number | 2 |
DOIs | |
State | Published - Jan 1 1996 |
Keywords
- Amputation
- Diabetes mellitus
- Epidemiology
- Foot
- Mortality
- Peripheral vascular disease
- The Netherlands
ASJC Scopus subject areas
- Internal Medicine
- Endocrinology, Diabetes and Metabolism
- Endocrinology