IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China
Wang, Aihong1,2; Xu, Zhangrong2; Mu, Yiming1; Ji, Linong3
关键词nonacute medical cost diabetic foot amputation
刊名INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS
2014-03-01
DOI10.1177/1534734614521235
13期:1页:17-21
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Dermatology ; Surgery
研究领域[WOS]Dermatology ; Surgery
关键词[WOS]LOWER-EXTREMITY AMPUTATION ; RISK-FACTORS ; FOOT ULCERS ; EPIDEMIOLOGY ; CARE
英文摘要

The objective was to analyze the clinical characteristics, amputation level, final outcome of amputation, and medical cost between diabetic amputation and nonacute amputation in China central urban hospitals. For year 2010, amputation data from 19 central municipal general hospitals located in different big cities in China were retrospectively analyzed according to a standardized protocol. A total of 308 amputation patients were recruited. The patients were divided into diabetic amputation group (n = 174) and nonacute amputation group (n = 134). A total of 27.3% of the amputated patients or 56.5% of the nonacute patients were diabetic patients. Compared with nonacute amputation, patients with diabetic amputation were older (65.4 +/- 11.6 vs 55.4 +/- 19.6 years, P = .000), with higher systolic blood pressure (136.7 +/- 19.7 vs 132.0 +/- 20.3 mm Hg, P = .044), higher fasting blood glucose level (8.3 +/- 3.7 vs 5.9 +/- 2.3 mmol/L, P = .000), lower triglycerides (TG; 1.3 +/- 0.7 vs 1.6 +/- 1.0 mmol/L, P = .014), and lower high-density lipoprotein cholesterol (HDL-C; 1.0 +/- 0.4 vs 1.2 +/- 0.3 mmol/L, P = .001). Minor amputation was more common in the patients with diabetic foot disease than those with nonacute foot disease (55.7% vs 20.1%; chi(2) = 40.519, P = .000). There were significant differences in days of hospital stay (33.5 vs 22.0 days) and medical cost (US$5932 vs US$4101) between the 2 groups. The patients with diabetic amputation were older with higher blood glucose, higher blood pressure, lower TG level, and lower HDL-C level. Most of them required minor amputation. More diabetic patients underwent repeated amputation. Their hospital stay was longer with significantly higher medical costs.

语种英语
WOS记录号WOS:000333180000005
项目编号2011ZX09307-001-08
资助机构Diabetics with Amputation Study Group ; Chinese Diabetes Society ; National Science and Technology Major Project
引用统计
被引频次:7[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65229
专题北京大学第二临床医学院
作者单位1.306th Hosp PLA, Beijing, Peoples R China
2.Chinese Peoples Liberat Army Gen Hosp, Chinese PLA Med Sch, Dept Endocrinol, Beijing 100853, Peoples R China
3.Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Wang, Aihong,Xu, Zhangrong,Mu, Yiming,et al. Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China[J]. INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS,2014,13(1):17-21.
APA Wang, Aihong,Xu, Zhangrong,Mu, Yiming,&Ji, Linong.(2014).Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China.INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS,13(1),17-21.
MLA Wang, Aihong,et al."Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China".INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS 13.1(2014):17-21.
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