School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD, Australia.
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia.
J Diabetes Res. 2017;2017:4138095. doi: 10.1155/2017/4138095. Epub 2017 Oct 15.
We investigated the prevalence and factors independently associated with foot complications in a representative inpatient population (adults admitted for any reason with and without diabetes). We analysed data from the , a sample of 733 representative inpatients. Previous amputation, previous foot ulceration, peripheral arterial disease (PAD), peripheral neuropathy (PN), and foot deformity were the foot complications assessed. Sociodemographic, medical, and foot treatment history were collected. Overall, 46.0% had a foot complication with 23.9% having multiple; those with diabetes had higher prevalence of foot complications than those without diabetes ( < 0.01). Previous amputation (4.1%) was independently associated with previous foot ulceration, foot deformity, cerebrovascular accident, and past surgeon treatment ( < 0.01). Previous foot ulceration (9.8%) was associated with PN, PAD, past podiatry, and past nurse treatment ( < 0.02). PAD (21.0%) was associated with older age, males, indigenous people, cancer, PN, and past surgeon treatment ( < 0.02). PN (22.0%) was associated with older age, diabetes, mobility impairment, and PAD ( < 0.05). Foot deformity (22.4%) was associated with older age, mobility impairment, past podiatry treatment, and PN ( < 0.01). Nearly half of all inpatients had a foot complication. Those with foot complications were older, male, indigenous, had diabetes, cerebrovascular accident, mobility impairment, and other foot complications or past foot treatment.
我们调查了一个代表性住院患者人群(因任何原因住院且无论是否患有糖尿病的成年人)中足部并发症的流行情况及其独立相关因素。我们分析了来自 的数据,该数据来自 733 名有代表性的住院患者样本。既往截肢、既往足部溃疡、外周动脉疾病(PAD)、周围神经病变(PN)和足部畸形是评估的足部并发症。收集了社会人口统计学、医疗和足部治疗史。总体而言,46.0%的患者有足部并发症,其中 23.9%的患者有多种并发症;患有糖尿病的患者足部并发症的患病率高于未患有糖尿病的患者(<0.01)。既往截肢(4.1%)与既往足部溃疡、足部畸形、脑血管意外和既往外科医生治疗独立相关(<0.01)。既往足部溃疡(9.8%)与 PN、PAD、既往足病学和既往护士治疗相关(<0.02)。PAD(21.0%)与年龄较大、男性、原住民、癌症、PN 和既往外科医生治疗相关(<0.02)。PN(22.0%)与年龄较大、糖尿病、行动障碍和 PAD 相关(<0.05)。足部畸形(22.4%)与年龄较大、行动障碍、既往足病学治疗和 PN 相关(<0.01)。几乎一半的住院患者都有足部并发症。有足部并发症的患者年龄较大、男性、原住民、患有糖尿病、脑血管意外、行动障碍和其他足部并发症或既往足部治疗。