Rafael-Martínez JF, Mávil-Lara R, Mendiola-Segura

Language: Spanish
References: 16
Page: 226-231
PDF size: 49.97 Kb.

ABSTRACT

Introduction: Conventionally, toe amputations for diabetic foot are performed at the surgery, increasing care costs. Reports supporting toe amputations feasibility at home are not availabe. Methods: From August 1, 1997 to January 30, 1998 we compared retrospectively the morbidity and mortality of patients with infected or necrotic toes amputated at home (group 1; n = 14), office (group 2; n = 11) or hospital (group 3; n = 20). Statistical analysis: Chi square or exact Fisher test was used for nominal variables. For continuous variables we employed ANOVA or Kruskal-Wallis. Results: Demographic and clinical characteristics (age, gender, years of diabetes duration, lapse of injury onset, number of amputated toes, leg injured, associate disease, and chronic complications) were similar for group comparison (p › 0.05). Complications and level of secondary amputations showed similar group outcome (p › 0.05). No injuries or major secondary amputations developed in group 1. Vascular secondary amputations observed in groups 1 and 3 did not increase morbidity significantly (p › 0.05). One patient in the second group and 8 patients of group 3 with vascular foot affection and ulcers were reamputated. No mortality was observed. Discussion: Digital amputations performed at home, office, or hospital bed showed similar outcomes with comprehensive care at the diabetic foot clinic.

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