title: [Factors associated with amputation in diabetic patients with foot ulcer].
abstract: OBJECTIVE
  To analyse risk factors for amputation in diabetic foot ulcers.
  
  
  METHODS
  We have studied 152 diabetic patients (in 14 food ulcers treatment was amputation) who were attendance between January 1996 and June 1998 in the diabetic foot Unit. Subjects with gangrene were excluded.
  
  
  RESULTS
  Risk factors for amputation were: previous history of amputation (odds ratio 3.7; 1.0113.7), proliferative retinopathy, osteomielitis, and independently clinical signs of peripheral vasculopathy (7.1; 1.88-27.2) and severe infection (14.4; 2.92-71.2).
  
  
  CONCLUSIONS
  Diabetic subjects with foot ulcers and previous history of amputation, proliferative retinopathy, osteomielitis, clinical signs of peripheral vasculopathy and/or severe infection were a high risk group for amputation and in this group aggressive therapeutical and preventive approaches should be done in order to prevent amputation.
authors.affiliation: Unidad de Referencia de Diabetes, Servicio de Endocrinología y Nutrición, Hospital Clínico Universitario, Departamento de Medicina, Universidad de Valencia.
authors.forename: J T
authors.initials: JT
authors.lastname: Real Collado
authors.forename: M
authors.initials: M
authors.lastname: Valls
authors.forename: M L
authors.initials: ML
authors.lastname: Basanta Alario
authors.forename: F J
authors.initials: FJ
authors.lastname: Ampudia Blasco
authors.forename: J F
authors.initials: JF
authors.lastname: Ascaso Gimilio
authors.forename: R
authors.initials: R
authors.lastname: Carmena Rodríguez
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000706:statistics & numerical data*; D017719:Diabetic Foot / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D012307:Risk Factors