Mortality Rates and Diabetic Foot Ulcers Is it Time to Communicate Mortality Risk to Patients with Diabetic Foot Ulceration?
Mortality Rates and Diabetic Foot Ulcers Is it Time to Communicate Mortality Risk to Patients with Diabetic Foot Ulceration?
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DOI：
10.7547/0980489
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发表时间：
2008-11-01
影响因子：
0.7
通讯作者：
Kaplan, Yelena
中科院分区：
文献类型：
--
作者：
Robbins, Jeffrey M.;Strauss, Gerald;Kaplan, Yelena
据报道，新发糖尿病溃疡后的五年死亡率在43%至55%之间，下肢截肢患者的五年死亡率高达74%。这些比率高于包括前列腺癌、乳腺癌、结肠癌和霍奇金病在内的几种癌症。这些惊人的5年死亡率应该由患者和提供者更积极地解决。心血管疾病是主要的致病因素，对这一最脆弱的患者群体进行早期预防干预以提高预期寿命至关重要。新发糖尿病足溃疡应被视为死亡率显著增加的标志，应在局部、系统和心理上积极管理。[J] .中华足病杂志，2008 (6):489-493 .]
Five-year mortality rates after new-onset diabetic ulceration have been reported between 43% and 55% and up to 74% for patients with lower-extremity amputation. These rates are higher than those for several types of cancer including prostate, breast, colon, and Hodgkin's disease. These alarmingly high 5-year mortality rates should be addressed more aggressively by patients and providers alike. Cardiovascular diseases represent the major causal factor, and early preventive interventions to improve life expectancy in this most vulnerable patient cohort are essential. New-onset diabetic foot ulcers should be considered a marker for significantly increased mortality and should be aggressively managed locally, systemically, and psychologically. (J Am Podiatr Med Assoc 98(6): 489-493, 2008)