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Diabetic major amputation in Far North Queensland 1998-2008: What is the Gap for Indigenous patients?
- Source :
- Australian Journal of Rural Health; Oct2013, Vol. 21 Issue 5, p268-273, 6p, 3 Charts
- Publication Year :
- 2013
-
Abstract
- Objective To examine demographic and clinical characteristics of diabetic patients undergoing diabetes-related major amputation in Far North Queensland to identify those at risk. Design A cohort was examined for differences between Indigenous and non-Indigenous groups in age, co-morbidities, indication for amputation and mortality. Attendance at the High Risk Foot Service was also reported. Setting Far North Queensland. Participants individuals with major amputations between 1998 and 2008. Main outcome measures Diabetes-related major amputations and mortality. Results Of the 143 individuals who underwent major amputation during the study period, 52% were Indigenous. On average, Indigenous amputees were 14 years younger than non-Indigenous amputees. There were more female Indigenous amputees compared with Indigenous male amputees. Indigenous amputees were more likely to suffer from chronic kidney disease ( P < 0.000) and reside in a remote community ( P < 0.000). Sepsis as an indication for amputation was more frequent in Indigenous subjects ( P = 0.019). There was no statistically significant difference in mortality related to the procedure between Indigenous and non-indigenous amputees. Conclusion Indigenous patients with renal disease living in remote communities are at higher risk of developing limb-threatening diabetic foot complications. Further improvements in self-care, diabetes management and foot-care are required to reduce major amputation rates, particularly for those residing in remote areas. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC kidney failure complications
AGE distribution
AMPUTATION
ANALYSIS of variance
CHI-squared test
COMPARATIVE studies
DEMOGRAPHY
FISHER exact test
LENGTH of stay in hospitals
INDIGENOUS peoples
LONGITUDINAL method
EVALUATION of medical care
MORTALITY
RURAL conditions
COMORBIDITY
SOCIOECONOMIC factors
DIABETIC foot
RETROSPECTIVE studies
DATA analysis software
DISEASE complications
SURGERY
Subjects
Details
- Language :
- English
- ISSN :
- 10385282
- Volume :
- 21
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Australian Journal of Rural Health
- Publication Type :
- Academic Journal
- Accession number :
- 90675012
- Full Text :
- https://doi.org/10.1111/ajr.12044