LONG-TERM EFFECTS OF PATIENTS AFTER AM-PUTATION OF THE LOWER EXTREMITY ON THE GROUND OF A DIABETIC ULCER. SYSTEMATIC LITERATURE REVIEW.
Aggeliki Vandorou, Εvrydiki Kaba, Martha Kelesi, Georgia Fasoi
Sunday, January 1, 2023
Publication year:
2023
Authors:
- Vandorou Aggeliki, Postgraduate program: Treatment and care of wounds and ulcers
- Kaba Εvrydiki, Associate Professor, Department of Nursing, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece
- Kelesi Martha, Professor, Department of Nursing, University of West Attika
- Fasoi Georgia, Associate Professor, Department of Nursing, Technological Educational Institute of Athens, Athens, Greece
Keywords index:
- lower limb amputations
- diabetic foot ulcers
- long term results
- recurrent amputation
- diabetes mellitus
Pages: 68-79
Abstract:
Introduction: Diabetic foot ulcers are the leading cause of non-traumatic amputation of the lower extremities, often followed by non-healing ulcers and are increasingly recognized as a serious, global public health problem. The recurrence rates of diabetic foot ulcers are high and for this reason the prevention of diabetic foot ulcers is of utmost importance in reducing the risks for the patient and the financial burden of the health systems, but also of society.Purpose: The purpose of this study was to systematically review the literature to investigate the long-term consequences of patients after lower extremity amputation on the ground of a diabetic ulcer. Methodology: This is a systematic review of the literature. The literature was searched in the Pubmed database. The keywords Diabetes, Diabetes Mellitus, Foot Ulcers, Amputations, Outcomes were used. Articles that were primary studies, included adult patients with diabetic lower extremity ulcers before amputation, were written in English or Greek and were published in the last decade. Results: Totally, 5 articles included. Risk factors for lower limb amputation found include previous lower limb amputation, peripheral arterial disease, ulcer of the front leg, high grade Wanger, advanced age, chronic kidney disease, decreased plasma albumin, traumatic brain injury, dialysis. The weighted mean recurrent amputation was 12.5%, 22.3% and 47.1% at 1, 3 and 5 years respectively. The weighted average mortality at 1, 3 and 5 years was 12.26%, 24.4% and 35.17% respectively. Conclusions: Patients with diabetic lower extremity ulcer should be monitored and evaluated regularly, due to the high risk of amputation and the consequent adverse effects.
Download PDF
