Rubio J A, Salido C, Albarracín A, Jiménez S, Alvarez J
Servicio de Endocrinología y Nutrición, Consulta de pie diabético, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
Rev Clin Esp. 2010 Feb;210(2):65-9. doi: 10.1016/j.rce.2009.06.010.
To quantify the Lower Extremity Amputations (LEA) incidence in population with and without diabetes mellitus (DM).
Retrospective cohort study of all the LEA carried out during 2001-2006 in area 3 of Madrid, from the codification of the reports of discharge reports.
310 LEA were carried out. The age-ajusted LEA incidence for any reason was 19,2/10(5) inhabitants per year (27,2 y 11,2 for men and women respectively). 261 were not-traumatic and non-tumoural (NTT) LEA, 76% were associated with DM and the incidence was 191/10(5) people with DM per year (95% confidence interval [CI(95)] 122-299) and 4,4/10(5) for people without DM per year (CI(95) 7-23), with a risk ratio of 44 (CI(95) 23-73).
The LEA rates in population with o without diabetes are higher than the previously communicated in Madrid. It would appear convenient to design strategies to reduce the LEA rates.
量化糖尿病患者和非糖尿病患者下肢截肢（LEA）的发生率。
对2001年至2006年马德里第3区所有下肢截肢病例进行回顾性队列研究，数据来源于出院报告编码。
共进行了310例下肢截肢手术。经年龄调整后的任何原因导致的下肢截肢发生率为每年每10（5）居民中有19.2例（男性为27.2例，女性为11.2例）。261例为非创伤性非肿瘤性（NTT）下肢截肢，其中76%与糖尿病相关，糖尿病患者每年的发生率为每10（5）人中有191例（95%置信区间[CI(95)]为122 - 299），非糖尿病患者每年的发生率为每10（5）人中有4.4例（CI(95)为7 - 23），风险比为44（CI(95)为23 - 73）。
糖尿病患者和非糖尿病患者的下肢截肢率高于马德里之前报告的水平。制定降低下肢截肢率的策略似乎很有必要。
