[Incidence of pyo-necrotic complications of the diabetic foot syndrome and preferences of specialized care].
Total retrospective clinical-social investigation of 2431 patients with pyo-necrotic complications of the diabetic foot syndrome (DFS) has revealed a considerably increased incidence of pyo-necrotic complications of DFS, mainly at the expense of patients with type II diabetes mellitus. Most of these patients (87.8%) are elderly and senile patients with a middle or severe degree of diabetes (98.2%) and signs of subcompensation or decompensation (87.2%). In 98.0% of the patients there were coexisting diseases. 87.9% of the patients were urgently admitted to hospital with acute pyo-inflammatory processes. A comparison of the results has shown that treatment and interdisciplinary observation in specialized institutions allowed to reduce lethality and number of high amputations more than two times.
Pavlov
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D000671:Amputation, Surgical / Q000379:methods / Q000706:statistics & numerical data*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D003925:Diabetic Angiopathies / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D017719:Diabetic Foot / Q000453:epidemiology* / Q000601:surgery; D005528:Foot / Q000098:blood supply* / Q000473:pathology* / Q000601:surgery; D005734:Gangrene / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D015994:Incidence; D009336:Necrosis / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery; D010348:Patient Care Team; D012720:Severity of Illness Index