Publikationer från Malmö universitet
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Elderly individuals with diabetes and foot ulcer have a probability for healing despite extensive comorbidity and dependency
Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).ORCID-id: 0000-0003-4395-2522
Skåne University Hospital.
2021 (engelsk)Inngår i: Expert review of pharmacoeconomics & outcomes research, ISSN 1473-7167, E-ISSN 1744-8379, Vol. 21, nr 2, s. 277-284Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Limited scientific evidence for prevention and treatment of diabetic foot ulcers in elderly with comorbidities.

AIM: To explore patient-related factors and outcomes in patients ≥75 years with diabetes and a foot ulcer.

METHOD: Sub-analysis of consecutively presenting patients ≥75 years (N = 1008) from a previous study on 2,480 patients with diabetic foot ulcer treated in a multidisciplinary system until healing. Patient characteristics: age - 81(75-96); diabetes type 2-98.7%; male/female - 49/51%; living with a spouse - 47%; nursing home 16%; or with home nursing 64%.

RESULT: Primary healing was achieved in 54%, minor amputation 8%, major amputation 9%, auto-amputation 2%, and 26% of the patients died unhealed. Among the oldest (88-96 years), 31% healed without any amputation. Extensive comorbidities were frequent: neuropathy 93%, visual impairment 73%, cardiovascular disease 60%, cerebrovascular disease 34%, and severe peripheral disease in 29% of the patients. Out of patients (80%) living in institutions or dependent on home nursing, 56% healed without amputation, compared to 44% of patients living in their own home without any support from social services or home nursing.

CONCLUSION: Healing without major amputation was achieved in 84% of surviving patients ≥75 years, despite extensive comorbidity and dependency.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2021. Vol. 21, nr 2, s. 277-284
Emneord [en]
Amputation, complications, diabetes mellitus, diabetic foot ulcers, healing, home nursing, neuropathy, peripheral vascular disease
HSV kategori
Identifikatorer
URN: urn:nbn:se:mau:diva-17586DOI: 10.1080/14737167.2020.1773804ISI: 000545156200001PubMedID: 32448021Scopus ID: 2-s2.0-85087026523OAI: oai:DiVA.org:mau-17586DiVA, id: diva2:1449484
Tilgjengelig fra: 2020-06-30 Laget: 2020-06-30 Sist oppdatert: 2024-02-05bibliografisk kontrollert

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Annersten Gershater, Magdalena

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