In-hospital mortality and disposition of diabetic amputees in The Netherlands

L. A. Lavery, W. H. Van Houtum, L. B. Harkless

Research output: Contribution to journalArticle

45 Scopus citations

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 languageEnglish (US)
Pages (from-to)192-197
Number of pages6
JournalDiabetic Medicine
Volume13
Issue number2
DOIs
StatePublished - 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

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