MMWR Morb Mortal Wkly Rep. 1998 Aug 14;47(31):649-52.
Diabetes mellitus is the leading cause of nontraumatic lower-extremity amputations (LEAs) in the United States and accounts for 45%-70% of all nontraumatic LEAs . Approximately half of diabetes-related LEAs occur among persons aged > or =65 years. To assess LEA hospitalization rates and costs for Medicare enrollees aged > or =65 years with and without diabetes, the Minnesota Diabetes Control Program (DCP) and Stratis Health (Minnesota Medicare Quality Improvement Organization) analyzed data for federal fiscal years 1993-1995 (October 1992-September 1995). This report summarizes the findings, which indicate that the LEA Medicare hospitalization rate for persons with diabetes was nearly 13 times the rate for persons without diabetes.
糖尿病是美国非创伤性下肢截肢（LEA）的主要原因，占所有非创伤性LEA的45%-70%。约一半与糖尿病相关的LEA发生在年龄≥65岁的人群中。为评估年龄≥65岁的有糖尿病和无糖尿病的医疗保险参保人的LEA住院率及费用，明尼苏达糖尿病控制项目（DCP）和Stratis Health（明尼苏达医疗保险质量改进组织）分析了1993-1995财年（1992年10月至1995年9月）的联邦数据。本报告总结了研究结果，结果表明糖尿病患者的LEA医疗保险住院率几乎是无糖尿病患者的13倍。
