Is hemoglobin concentration a predictor for the outcome of distal gangrenous lesions in diabetics?
The predictive value of some routine laboratory tests given on admission was evaluated in a retrospective study to determine whether any given value could predict the outcome of distal gangrenous lesions and amputations in diabetic and nondiabetic patients. There was no difference in preoperative hemoglobin concentration between successful and unsuccessful amputations in 45 diabetic and 59 nondiabetic patients. In another group of 191 diabetic patients with distal gangrenous lesions, the lesions healed after nonsurgical treatment in 112 patients, 54 patients were submitted to amputation and 25 patients died before the lesions healed. Patients submitted to amputation had lower hemoglobin levels and higher erythrocyte sedimentation rates and white blood counts than patients in whom the lesions healed, whilst there were no differences between these two groups concerning blood glucose concentration or body temperature.
D000368:Aged; D000671:Amputation, Surgical; D001786:Blood Glucose / Q000032:analysis; D001799:Blood Sedimentation; D001831:Body Temperature; D003925:Diabetic Angiopathies / Q000150:complications*; D005260:Female; D005734:Gangrene; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007866:Leg / Q000473:pathology* / Q000601:surgery; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D014945:Wound Healing
D001786:Blood Glucose; D006454:Hemoglobins