Momeni M, Jafarian A-A, Maroufi S-S, Ranjpour F, Karimi H
Iran University of Medical Sciences.
Ann Burns Fire Disasters. 2018 Sep 30;31(3):181-184.
The incidence of diabetes and diabetic foot burns is increasing worldwide. In the present study, we surveyed frequency, morbidity and mortality of diabetic foot burn patients in our centre. The study was a cross-sectional survey with one-year follow up of our adult diabetic patients with lower extremity burns. Data on demographics, cause of burn, time from injury to hospital, TBSA, presence of neuropathy and diabetic foot, treatment plan for controlling blood sugar, smoking, infection, morbidity, co-morbid diseases, amputation and mortality were gathered from patient files. Statistical analysis was done with SPSS 21 software. A p value less than 0.05 was considered significant. Of the 34,300 burn patients seen in a year, 2096 were admitted according to ABA criteria. 47 patients had diabetic foot burn. Half of them had diabetic neuropathy. 48.9% had type I diabetes and 51.1% had type II. 70.2% were male, 29.8% were female. Mean +/- SD age was 58 +/- 14 years; 14 patients were smokers and 40 had co-morbid diseases. Hypertension frequency was 44%, ischemic heart disease 25%, CVA 8.5% and renal failure 6.4%. Half of the patients had uncontrolled blood sugar. Mean +/- SD delay in admission was 2.5±1.5 (days). Mean +/- SD TBSA was 2.4 +/- 1.4%. Mean +/- SD length of stay was 11.4±6.1 (days). 8.5% underwent amputation and there were no deaths. Diabetic foot burn patients delay seeking medical attention, have a longer length of stay, more complications and more amputations than other burn patients (compared with our previous study on burn patients). Prevention and training programs are highly needed to prevent foot burns.
全球范围内，糖尿病及糖尿病足烧伤的发病率正在上升。在本研究中，我们调查了本中心糖尿病足烧伤患者的发生率、发病率及死亡率。该研究为一项横断面调查，对成年下肢烧伤的糖尿病患者进行了为期一年的随访。从患者病历中收集了人口统计学数据、烧伤原因、受伤至入院时间、烧伤总面积、神经病变及糖尿病足的情况、控制血糖的治疗方案、吸烟情况、感染情况、发病率、合并疾病、截肢情况及死亡率。使用SPSS 21软件进行统计分析。p值小于0.05被视为具有统计学意义。一年中所见的34300例烧伤患者中，根据美国烧伤协会（ABA）标准，有2096例入院治疗。47例患者为糖尿病足烧伤。其中一半患者患有糖尿病神经病变。48.9%为1型糖尿病，51.1%为2型糖尿病。70.2%为男性，29.8%为女性。平均年龄±标准差为58±14岁；14例患者吸烟，40例有合并疾病。高血压发生率为44%，缺血性心脏病为25%，脑血管意外为8.5%，肾衰竭为6.4%。一半患者血糖控制不佳。入院平均延迟时间±标准差为2.5±1.5（天）。平均烧伤总面积±标准差为2.4±1.4%。平均住院时间±标准差为11.4±6.1（天）。8.5%的患者接受了截肢手术，且无死亡病例。与其他烧伤患者相比（与我们之前关于烧伤患者的研究相比），糖尿病足烧伤患者就医延迟、住院时间更长、并发症更多且截肢率更高。非常需要预防和培训项目来预防足部烧伤。
