澳大利亚西悉尼地区糖尿病足溃疡的特征。
Characteristics of diabetic foot ulcers in Western Sydney, Australia.
机构信息
Arthritis and Musculoskeletal Research Group, The University of Sydney, Sydney, NSW Australia ; Foot Wound Clinic, Department of Surgery, The University of Sydney, Westmead Hospital, Sydney, NSW Australia.
Foot Wound Clinic, Department of Surgery, The University of Sydney, Westmead Hospital, Sydney, NSW Australia ; Westmead Research Centre for the Evaluation of Surgical Outcomes, Department of Surgery, The University of Sydney, Sydney, NSW Australia.
出版信息
J Foot Ankle Res. 2014 Sep 28;7(1):39. doi: 10.1186/s13047-014-0039-4. eCollection 2014.
BACKGROUND
Australia is ranked ninth of 39 countries in the Western Pacific region most affected by diabetes. Patients with diabetes are at high risk of developing foot ulcerations that can develop into non-healing wounds. Recent studies suggest that the lifetime risk of developing a diabetic foot ulcer is as high as 25%. Few studies have reported the prevalence of, risk factors and socioeconomic status associated with, diabetic foot ulcers in Australia. The aim of this study was to evaluate the characteristics of diabetic foot ulcers in a tertiary referral outpatient hospital setting in Western Sydney, Australia.
METHODS
From January-December 2011, a total of 195 outpatients with diabetes were retrospectively extracted for analysis from the Westmead Hospital's Foot Wound Clinic Registry. Data on demographics, socioeconomic status, co-morbidities, foot ulcer characteristics and treatment were recorded on a standardised form.
RESULTS
Demographics and physical characteristics were: 66.2% male, median age 67 years (IQR: 56-76), median body mass index (BMI) of 28 kg/m(2) (IQR: 25.2-34.1), 75.4% had peripheral neuropathy and the median postcode score for socioeconomic status was 996 (IQR: 897-1022). Diabetic foot ulcer characteristics were: median cross sectional area of 1.5 cm(2) (IQR: 0.5-7.0), median volume of 0.4 cm(3) (IQR: 0.11-3.0), 45.1% on the plantar aspect of the foot, 16.6% UT Wound Grade of 0C to 3C (with ischaemia) and 11.8% with a Grade 0D to 3D (with infection and ischaemia) and 25.6% with osteomyelitis. Five patients required an amputation: 1 major and 4 minor amputations.
CONCLUSIONS
In accordance with other international studies, foot ulcers are more likely to present on the plantar surface of the foot and largely affect overweight older males with a long standing history diabetes in our outpatient hospital in Western Sydney.
背景
在受糖尿病影响最大的西太平洋地区 39 个国家中，澳大利亚排名第九。糖尿病患者发生足部溃疡的风险很高，而足部溃疡可能发展为难以愈合的伤口。最近的研究表明，糖尿病患者发生足部溃疡的终身风险高达 25%。很少有研究报告澳大利亚糖尿病足溃疡的患病率、危险因素和社会经济地位。本研究旨在评估西悉尼一家三级转诊门诊医院的糖尿病足溃疡特征。
方法
2011 年 1 月至 12 月，从 Westmead 医院足部伤口诊所登记处回顾性提取了 195 名糖尿病门诊患者进行分析。记录了人口统计学、社会经济状况、合并症、足部溃疡特征和治疗的数据。
结果
人口统计学和身体特征为：男性占 66.2%，中位年龄 67 岁（IQR：56-76），中位体重指数（BMI）为 28kg/m²（IQR：25.2-34.1），75.4%有周围神经病变，社会经济地位的中位数邮政编码得分为 996（IQR：897-1022）。糖尿病足溃疡的特征为：横截面积中位数为 1.5cm²（IQR：0.5-7.0），体积中位数为 0.4cm³（IQR：0.11-3.0），45.1%发生在足底，16.6%足部伤口分级为 0C 至 3C（伴缺血），11.8%为 0D 至 3D（伴感染和缺血），25.6%有骨髓炎。有 5 名患者需要截肢：1 例为大截肢，4 例为小截肢。
结论
与其他国际研究一致，足部溃疡更有可能发生在足底表面，并且在我们西悉尼的门诊医院中，主要影响超重的老年男性，他们患有长期糖尿病。
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