[Improvement of the quality of life of elderly patients with syndrome of "diabetic foot"].
The immediate and long-term results of treatment of 198 gerontological patients with the "diabetic foot" syndrome were analyzed from the standpoint of quality of life. The main group consists of 125 patients who underwent reconstructive operations. The control group includes 73 patients who underwent primary amputation. Reconstructive operations could save extremity in 87% of patients, amputation on the femur was made in 14 (11.2%), shank -in 2, amputation at the level of foot and toes in 67 (53.6%). Lethality after the primary amputation in the nearest period was 22% (16 patients). Overall survival within 5 years in the main group was 87.2%, lethality 12.2%; survival in the control group was 35.6%, lethality--64.4%. So, the reconstructive operations can considerably improve quality of life of gerontological patients in the nearest and long-term periods.
Dibirov
M D
MD
Kirtadze
D G
DG
Tereshchenko
S A
SA
Dibirov
A A
AA
Ramazanova
Iu I
IuI
D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D017719:Diabetic Foot / Q000401:mortality / Q000523:psychology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods