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首页> 外文期刊>The international journal of lower extremity wounds >Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China
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Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China

机译:中国中心城市医院糖尿病截肢患者和非糖尿病非急性截肢患者的临床特点和医疗费用

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摘要

The objective was to analyze the clinical characteristics, amputation level, final outcome of amputation, and medical cost between diabetic amputation and nonacute amputation in China central urban hospitals. For year 2010, amputation data from 19 central municipal general hospitals located in different big cities in China were retrospectively analyzed according to a standardized protocol. A total of 308 amputation patients were recruited. The patients were divided into diabetic amputation group (n = 174) and nonacute amputation group (n = 134). A total of 27.3% of the amputated patients or 56.5% of the nonacute patients were diabetic patients. Compared with nonacute amputation, patients with diabetic amputation were older (65.4 +/- 11.6 vs 55.4 +/- 19.6 years, P = .000), with higher systolic blood pressure (136.7 +/- 19.7 vs 132.0 +/- 20.3 mm Hg, P = .044), higher fasting blood glucose level (8.3 +/- 3.7 vs 5.9 +/- 2.3 mmol/L, P = .000), lower triglycerides (TG; 1.3 +/- 0.7 vs 1.6 +/- 1.0 mmol/L, P = .014), and lower high-density lipoprotein cholesterol (HDL-C; 1.0 +/- 0.4 vs 1.2 +/- 0.3 mmol/L, P = .001). Minor amputation was more common in the patients with diabetic foot disease than those with nonacute foot disease (55.7% vs 20.1%; chi(2) = 40.519, P = .000). There were significant differences in days of hospital stay (33.5 vs 22.0 days) and medical cost (US$5932 vs US$4101) between the 2 groups. The patients with diabetic amputation were older with higher blood glucose, higher blood pressure, lower TG level, and lower HDL-C level. Most of them required minor amputation. More diabetic patients underwent repeated amputation. Their hospital stay was longer with significantly higher medical costs.
机译:目的是分析中国城市中心医院糖尿病截肢与非急性截肢之间的临床特征,截肢水平,截肢的最终结果以及医疗费用。对于2010年,根据标准化协议对来自中国不同大城市的19家中央市政综合医院的截肢数据进行了回顾性分析。总共招募了308名截肢患者。将患者分为糖尿病截肢组(n = 174)和非急性截肢组(n = 134)。截肢患者中有27.3%或非急性患者中有56.5%是糖尿病患者。与非急性截肢相比,糖尿病截肢患者年龄更大(65.4 +/- 11.6 vs 55.4 +/- 19.6岁,P = .000),收缩压更高(136.7 +/- 19.7 vs 132.0 +/- 20.3 mm Hg ,P = .044),较高的空腹血糖水平(8.3 +/- 3.7 vs 5.9 +/- 2.3 mmol / L,P = .000),较低的甘油三酸酯(TG; 1.3 +/- 0.7 vs 1.6 +/- 1.0 mmol / L,P = .014)和较低的高密度脂蛋白胆固醇(HDL-C; 1.0 +/- 0.4与1.2 +/- 0.3 mmol / L,P = .001)。糖尿病足病患者比非急性足病患者更容易进行小型截肢(55.7%vs 20.1%; chi(2)= 40.519,P = .000)。两组的住院天数(33.5天对22.0天)和医疗费用(5932美元对4101美元)存在显着差异。糖尿病截肢患者年龄较大,血糖较高,血压较高,TG较低,HDL-C较低。他们大多数需要轻度截肢。越来越多的糖尿病患者被截肢。他们的住院时间更长,医疗费用更高。

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