The Effect of Age, Gender, Risk Level and Glycosylated Hemoglobin in Predicting Foot Amputation in HMO Patients with Diabetes

Wiley - Tập 13 Số 5 - Trang 230-236 - 2001
Sharon A. Watts1, Barbara Daly2, Mary K. Anthony2, Patricia McDonald2, Allan Khoury3, Wendy Dahar3
1V.A. Hospital of Cleveland, USA.
2Barb Daly, PhD, RN, Mary Anthony, PhD, RN, and Patricia McDonald, PhD, RN, all serve on the faculty at Case Western Reserve University.
3Alan Khoury, MD, and Wendy Dahar, MPH, currently work with a Health Maintenance Organization in the greater Cleveland area.

Tóm tắt

PurposeTo determine if age, gender, risk level and glucosylated hemoglobin could predict foot amputations in HMO patients with diabetes.Data SourcesA retrospective chart review of a non‐random sample of 27 patients with amputation and 110 randomly selected patients without amputation during the same time period. Chi‐square, t‐tests and logistic regression were used to analyze the data.ConclusionsThere was no significant difference between the group with amputation and those without amputation in age or gender. However, there was a significant difference between the two groups in the risk stratification (p=.005) and glycosylated hemoglobin levels (p=.058).Implications for PracticeNurse practitioners can effectively screen for amputation risk factors and closely monitor glycosylated hemoglobin levels of diabetic patients to reduce the incidence of vascular complications and related lower extremity amputation.

Từ khóa


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Thông tin
Thông tin xuất bản

Wiley

Tập 13 Số 5

230-236

Thông tin tác giả