Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital

Objective: To investigate the prevalence of diabetic at-risk foot and its associated factors. Methods: A total of 838 hospitalized patients with type 2 diabetes were screened for at-risk foot. Neural and vascular disorders were evaluated by assessing vibration perception thresholds and ankle brachia...

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Autores principales:	Sheng-Yi Zou, Yuan Zhao, Yue-Ping Shen, Yao-Fang Shi, Hui-Juan Zhou, Jian-Ying Zou, Bi-Min Shi
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2015
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/53bd1c1d3e104f819f1e112480c8f6bd
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spelling	oai:doaj.org-article:53bd1c1d3e104f819f1e112480c8f6bd2021-12-02T10:50:45ZIdentifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital2095-882X10.1016/j.cdtm.2015.11.002https://doaj.org/article/53bd1c1d3e104f819f1e112480c8f6bd2015-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X15000687https://doaj.org/toc/2095-882XObjective: To investigate the prevalence of diabetic at-risk foot and its associated factors. Methods: A total of 838 hospitalized patients with type 2 diabetes were screened for at-risk foot. Neural and vascular disorders were evaluated by assessing vibration perception thresholds and ankle brachial indexes (ABIs). After excluding 12 patients with abnormally high ABIs, remaining individuals with neural and/or vascular disorder were identified as at-risk patients and further classified into three subtypes: isolated neural disorder, isolated vascular disorder and mixed disorder. Potential associated factors were examined using Logistic regression models. Results: In the final sample of 826 individuals, the prevalence of diabetic at-risk foot was 30.6%. Among all at-risk patients, isolated neural disorders (69.6%) were more common than mixed (16.2%) or isolated vascular disorders (14.2%). Isolated neural and vascular disorders shared specific risk factors, including age per 20-year increment (odds ratio [95% CI], 3.73 [2.59â5.37] and 4.01 [1.98â8.11]), diabetic duration â¥10 years (1.69 [1.13â2.54] and 3.29 [1.49â7.24]) and systolic blood pressure â¥140Â mmHg (1.96 [1.31â2.93] and 2.90 [1.38â6.10]) respectively. In addition, isolated neural disorders were associated with a heavy smoking history (95%CI 2.69 [1.15â6.31]), increased high-sensitivity C-reactive protein levels (95%CI 1.30 [1.04â1.62]) and mild obesity (95%CI 0.49 [0.20â1.24]). Isolated vascular disorders were linked with decreased high density lipoprotein (HDL) cholesterol levels (95%CI 3.42 [1.31â8.96]) and increased triglycerides levels (95%CI 2.74 [1.26â5.97]). Conclusions: Diabetic at-risk foot is epidemic among hospitalized patients with type 2 diabetes. Aging, long-term diabetes, hypertension, smoking, inflammatory response and dyslipidemia may be associated with the prevalence of diabetic at-risk foot. Keywords: Ankle brachial index, Diabetic at-risk foot, Vibration perception thresholdSheng-Yi ZouYuan ZhaoYue-Ping ShenYao-Fang ShiHui-Juan ZhouJian-Ying ZouBi-Min ShiKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 1, Iss 4, Pp 210-216 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Sheng-Yi Zou Yuan Zhao Yue-Ping Shen Yao-Fang Shi Hui-Juan Zhou Jian-Ying Zou Bi-Min Shi Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital
description	Objective: To investigate the prevalence of diabetic at-risk foot and its associated factors. Methods: A total of 838 hospitalized patients with type 2 diabetes were screened for at-risk foot. Neural and vascular disorders were evaluated by assessing vibration perception thresholds and ankle brachial indexes (ABIs). After excluding 12 patients with abnormally high ABIs, remaining individuals with neural and/or vascular disorder were identified as at-risk patients and further classified into three subtypes: isolated neural disorder, isolated vascular disorder and mixed disorder. Potential associated factors were examined using Logistic regression models. Results: In the final sample of 826 individuals, the prevalence of diabetic at-risk foot was 30.6%. Among all at-risk patients, isolated neural disorders (69.6%) were more common than mixed (16.2%) or isolated vascular disorders (14.2%). Isolated neural and vascular disorders shared specific risk factors, including age per 20-year increment (odds ratio [95% CI], 3.73 [2.59â5.37] and 4.01 [1.98â8.11]), diabetic duration â¥10 years (1.69 [1.13â2.54] and 3.29 [1.49â7.24]) and systolic blood pressure â¥140Â mmHg (1.96 [1.31â2.93] and 2.90 [1.38â6.10]) respectively. In addition, isolated neural disorders were associated with a heavy smoking history (95%CI 2.69 [1.15â6.31]), increased high-sensitivity C-reactive protein levels (95%CI 1.30 [1.04â1.62]) and mild obesity (95%CI 0.49 [0.20â1.24]). Isolated vascular disorders were linked with decreased high density lipoprotein (HDL) cholesterol levels (95%CI 3.42 [1.31â8.96]) and increased triglycerides levels (95%CI 2.74 [1.26â5.97]). Conclusions: Diabetic at-risk foot is epidemic among hospitalized patients with type 2 diabetes. Aging, long-term diabetes, hypertension, smoking, inflammatory response and dyslipidemia may be associated with the prevalence of diabetic at-risk foot. Keywords: Ankle brachial index, Diabetic at-risk foot, Vibration perception threshold
format	article
author	Sheng-Yi Zou Yuan Zhao Yue-Ping Shen Yao-Fang Shi Hui-Juan Zhou Jian-Ying Zou Bi-Min Shi
author_facet	Sheng-Yi Zou Yuan Zhao Yue-Ping Shen Yao-Fang Shi Hui-Juan Zhou Jian-Ying Zou Bi-Min Shi
author_sort	Sheng-Yi Zou
title	Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital
title_short	Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital
title_full	Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital
title_fullStr	Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital
title_full_unstemmed	Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital
title_sort	identifying at-risk foot among hospitalized patients with type 2 diabetes: a cross-sectional study in one chinese tertiary hospital
publisher	KeAi Communications Co., Ltd.
publishDate	2015
url	https://doaj.org/article/53bd1c1d3e104f819f1e112480c8f6bd
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Identifying at-risk foot among hospitalized patients with type 2 diabetes: A cross-sectional study in one Chinese tertiary hospital

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