Mortality and complications after treatment of acute diabetic Charcot foot.
J Diabetes Complications
; 32(12): 1141-1147, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-30301593
ABSTRACT
AIMS:
Charcot foot is a rare but disabling complication to diabetic neuropathy, and can cause permanent, limb-threatening deformities. The aim of this study was to investigate a population of patients a Charcot foot on a case-by-case basis, in order to assess the consequences of an acute Charcot foot and its complications.METHODS:
The study was conducted a retrospective study of patients admitted to the Copenhagen Wound Healing Center between 1996 and 2015 with the diagnosis of Charcot foot (DM14.6) and diabetes mellitus type 1 or 2 (DE10.X and DE11.X). Physical and electronic records were used, and compared to data from the Danish Diabetes Registry.RESULTS:
In total 392 patients were identified of which 173 were included. There were 26% with type 1 diabetes (initial HbA1c 81.7⯱â¯21.4â¯mmol/mol) and 74% with type 2 diabetes (initial HbA1c 66.5⯱â¯20.3â¯mmol/mol). Primary off-loading was with a removable walker in 95% of the cases (average off-loading time 8.3â¯months). The 5-year mortality was 14% with a mean survival time of 12.7â¯years. There was an association between lack of compliance and occurrence of foot complications, as well as between having a Charcot foot and leaving the workforce.CONCLUSION:
More patients had type 1 diabetes compared to the background population, and they had a higher HbA1c than the general population of diabetes patients. A total of 67% developed complications such as ulcers, while patients non-compliant to treatment did significantly worse than those being compliant. The 5-year mortality was low, 14%, and comparable to diabetes patients without Charcot foot.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pé Diabético
/
Diabetes Mellitus Tipo 2
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article