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논문 기본 정보

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학술저널
저자정보
Lee, Kyung Mook (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) Kim, Woon Hoe (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) Lee, Jang Hyun (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) Choi, Matthew Seung Suk (Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제2호
발행연도
2013.1
수록면
123 - 128 (6page)

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Background Some diabetic feet heal without complication, but others undergo amputation due to progressive wounds. This study investigates the risk factors for amputation of diabetic feet. Methods A total of 55 patients who visited our institution from 2008 to 2012 were included in the study. The patients with abnormal fasting blood sugar levels, lower leg vascularity, and poor nutrition were excluded from the study group, and the wound states were unified. The patients were categorized into a treatment success group (n=47) and a treatment failure group (n=8), and their hemoglobin A1C (HgA1C), C-reactive protein (CRP), white blood cell count (WBC), and serum creatinine levels were analyzed. Results The initial CRP, WBC, and serum creatinine levels in the treatment failure group were significantly higher than that of the treatment success group, and the initial HgA1C level was significantly higher in the treatment success group. The CRP and WBC levels of both groups changed significantly as time passed, but their serum creatinine levels did not. Conclusions The initial CRP, WBC, and serum creatinine levels were considered to be risk factors for amputation. Among them, the serum creatinine level was found to be the most important predictive risk factor. Because serum creatinine represents the renal function, thorough care is needed for the feet of diabetic patients with renal impairment.
#Diabetes complications #Foot ulcer #Risk factors

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참고문헌 (21)

참고문헌 신청
Danaei G / 2011 / National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants / Lancet 378:31~40 google schola Heo KB / 1983 / A clinical study in patients with diabetic gangrene / J Korean Diabetes Assoc 7:65~70 google schola Reiber GE / 1995 / Lower extremity foot ulcers and amputation in individuals with diabetes, In Diabetes in America / National Institute of Diabetes and Digestive and Kidney Diseases :408~428 google schola Reiber GE / 2001 / Epidemiology of foot ulcers and amputations in the diabetic foot, In Levin and O’neal’s the diabetic foot / Mosby :13~32 google schola Pecoraro RE / 1990 / Pathways to diabetic limb amputation: basis for prevention / Diabetes Care 13:513~521 google schola

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