Comparison of clinical characteristics and medical costs of patients with diabetic foot ulcer in some provinces of China

• DOI: 10.3760/cma.j.issn.1674-5809.2014.07.005
• Publication Date: 2014-07-27
• Authors: Yijuan Ban; Xingwu Ran; Chuan Yang; Penghua Wang; Jianhua Ma; Bing Chen; Yanmei Yu; Feng Bo; Lili Chen; Han Yin; Zhifeng Cheng; Lijing Jia; Zhaoli Yan; Yuzhi Yang; Fang Liu; Yuming Du; Jiping Mao; Zheng-hua Xiao; Shaoda Lin; Shi Zhao; Xue-Yi Ma; Yingsheng Zhou; Guochang Chen; Rongwen Bian
• Keywords: Dyslipidemia; Diabetic foot ulcer; Foot (prosody)

Objective To compare and analyze clinical data, ulcer characteristics, prognosis hospitalization expenses in the patients with diabetic foot 2004 2012 China.

Methods Diabetic disease data from 14 great three A hospitals 10 provinces or cities 15 11 China were collected analyzed, including medical history, physical biochemical examinations, demographic expenses. The classification, stage risk factors of also compared between two groups. t, χ2 u tests used for comparing groups data. Hospitalization was corrected consumer price index.

Results 386 cases 682 recruited. No significant differences age, educational level, duration diabetes, waist hip ratio, glycosylated hemoglobin A1c, triglyceride, high density lipoprotein cholesterol, uric acid, prevalence dyslipidemia, cerebrovascular, peripheral artery disease, neuropathy, ischemic ulcer, (all P>0.05). Compared 2004, (1(1-6) vs 6(1-16) m, u=-7.955, P<0.05) shorter, more men(65.2% 58.5%, χ2=4.738, P<0.05), smoking(45.8% 39.0%, χ2=4.602, and/or drinking(41.1% 19.1%, χ2=51.179, lower fasting postprandial blood glucose, total cholesterol low 2012(t=-2.987, -2.855, -4.910, -3.748, all P<0.05). higher hypertension, coronary heart kidney retinopathy(χ2 =47.572, 13.297, 9.638, 4.329; infectious severe whose classified as Wagner 3 above Texas D (χ2 = 6.787, 40.880, 11.028, There significantly major amputation rate, healing rate(χ2 8.838, 8.908, 107.773, shorter hospital stay (18(12-32) 21(15-32)d, u=-3.349, P<0.05).

Conclusions The older, men, long poor control hyperglycemia, cardiovascular complications. had concomitant diseases complications, ulcers infections, but stay.

Key words: Diabetes; Diabetic foot; Amputation; Hospitalization