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学科主题: 临床医学
题名:
Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China
作者: 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
发表日期: 2014-03-01
DOI: 10.1177/1534734614521235
卷: 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
所属项目编号: 2011ZX09307-001-08
项目资助者: Diabetics with Amputation Study Group ; Chinese Diabetes Society ; National Science and Technology Major Project
WOS记录号: WOS:000333180000005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65229
Appears in Collections:北京大学第二临床医学院_期刊论文

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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

Recommended Citation:
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.
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