The effect of age, gender, risk level and glycosylated hemoglobin in predicting foot amputation in HMO patients with diabetes.
OBJECTIVE
To determine if age, gender, risk level and glucosylated hemoglobin could predict foot amputations in HMO patients with diabetes.


METHODS
A retrospective chart review of a non-random sample of 27 patients with amputation and 110 randomly selected patients without amputation during the same time period. Chi-square, t-tests and logistic regression were used to analyze the data.


CONCLUSIONS
There was no significant difference between the group with amputation and those without amputation in age or gender. However, there was a significant difference between the two groups in the risk stratification (p = .005) and glycosylated hemoglobin levels (p = .058).


CONCLUSIONS
Nurse practitioners can effectively screen for amputation risk factors and closely monitor glycosylated hemoglobin levels of diabetic patients to reduce the incidence of vascular complications and related lower extremity amputation.
Watts
S A
SA
V.A. Hospital of Cleveland, USA.
Daly
B
B
Anthony
M
M
McDonald
P
P
Khoury
A
A
Dahar
W
W
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D048909:Diabetes Complications; D017719:Diabetic Foot / Q000209:etiology / Q000601:surgery*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009722:Nurse Practitioners; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors
D006442:Glycated Hemoglobin