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Risk factors of treatment failure in diabetic foot ulcer patients

Title
Risk factors of treatment failure in diabetic foot ulcer patients
Author
이장현
Keywords
Diabetes complications; Foot ulcer; Risk factors
Issue Date
2013-03
Publisher
The Korean Society of Plastic and Reconstructive Surgeons
Citation
Archives of Plastic Surgery, 40(2),p.123-128
Abstract
Background Some diabetic feet heal without complication, but others undergo amputation due to progressive wounds. This study investigates the risk factors for amputation of diabetic feet. Methods A total of 55 patients who visited our institution from 2008 to 2012 were included in the study. The patients with abnormal fasting blood sugar levels, lower leg vascularity, and poor nutrition were excluded from the study group, and the wound states were unified. The patients were categorized into a treatment success group (n=47) and a treatment failure group (n=8), and their hemoglobin A1C (HgA1C), C-reactive protein (CRP), white blood cell count (WBC), and serum creatinine levels were analyzed. Results The initial CRP, WBC, and serum creatinine levels in the treatment failure group were significantly higher than that of the treatment success group, and the initial HgA1C level was significantly higher in the treatment success group. The CRP and WBC levels of both groups changed significantly as time passed, but their serum creatinine levels did not. Conclusions The initial CRP, WBC, and serum creatinine levels were considered to be risk factors for amputation. Among them, the serum creatinine level was found to be the most important predictive risk factor. Because serum creatinine represents the renal function, thorough care is needed for the feet of diabetic patients with renal impairment.
URI
https://www.e-aps.org/journal/view.php?doi=10.5999/aps.2013.40.2.123http://hdl.handle.net/20.500.11754/54541
ISSN
2234-6163; 2234-6171
DOI
10.5999/aps.2013.40.2.123
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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