Elderly individuals with diabetes and foot ulcer have a probability for healing despite extensive comorbidity and dependency
(2021) In Expert Review of Pharmacoeconomics and Outcomes Research 21(2). p.277-284- Abstract
Background: Limited scientific evidence for prevention and treatment of diabetic foot ulcers in elderly with comorbidities. Aim: To explore patient-related factors and outcomes in patients ≥75 years with diabetes and a foot ulcer. Method: Sub-analysis of consecutively presenting patients ≥75 years (N = 1008) from a previous study on 2,480 patients with diabetic foot ulcer treated in a multidisciplinary system until healing. Patient characteristics: age–81(75–96); diabetes type 2–98.7%; male/female–49/51%; living with a spouse–47%; nursing home 16%; or with home nursing 64%. Result: Primary healing was achieved in 54%, minor amputation 8%, major amputation 9%, auto-amputation 2%, and 26% of the patients died unhealed. Among the oldest... (More)
Background: Limited scientific evidence for prevention and treatment of diabetic foot ulcers in elderly with comorbidities. Aim: To explore patient-related factors and outcomes in patients ≥75 years with diabetes and a foot ulcer. Method: Sub-analysis of consecutively presenting patients ≥75 years (N = 1008) from a previous study on 2,480 patients with diabetic foot ulcer treated in a multidisciplinary system until healing. Patient characteristics: age–81(75–96); diabetes type 2–98.7%; male/female–49/51%; living with a spouse–47%; nursing home 16%; or with home nursing 64%. Result: Primary healing was achieved in 54%, minor amputation 8%, major amputation 9%, auto-amputation 2%, and 26% of the patients died unhealed. Among the oldest (88–96 years), 31% healed without any amputation. Extensive comorbidities were frequent: neuropathy 93%, visual impairment 73%, cardiovascular disease 60%, cerebrovascular disease 34%, and severe peripheral disease in 29% of the patients. Out of patients (80%) living in institutions or dependent on home nursing, 56% healed without amputation, compared to 44% of patients living in their own home without any support from social services or home nursing. Conclusion: Healing without major amputation was achieved in 84% of surviving patients ≥75 years, despite extensive comorbidity and dependency.
(Less)
- author
- Gershater, Magdalena Annersten and Apelqvist, Jan LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Amputation, complications, diabetes mellitus, diabetic foot ulcers, healing, home nursing, neuropathy, peripheral vascular disease
- in
- Expert Review of Pharmacoeconomics and Outcomes Research
- volume
- 21
- issue
- 2
- pages
- 277 - 284
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:32448021
- scopus:85087026523
- ISSN
- 1473-7167
- DOI
- 10.1080/14737167.2020.1773804
- language
- English
- LU publication?
- yes
- id
- 34470499-cbdf-4ad0-8ab7-40e7c98005c5
- date added to LUP
- 2020-07-10 11:12:15
- date last changed
- 2024-07-10 18:43:25
@article{34470499-cbdf-4ad0-8ab7-40e7c98005c5,
abstract = {{<p>Background: Limited scientific evidence for prevention and treatment of diabetic foot ulcers in elderly with comorbidities. Aim: To explore patient-related factors and outcomes in patients ≥75 years with diabetes and a foot ulcer. Method: Sub-analysis of consecutively presenting patients ≥75 years (N = 1008) from a previous study on 2,480 patients with diabetic foot ulcer treated in a multidisciplinary system until healing. Patient characteristics: age–81(75–96); diabetes type 2–98.7%; male/female–49/51%; living with a spouse–47%; nursing home 16%; or with home nursing 64%. Result: Primary healing was achieved in 54%, minor amputation 8%, major amputation 9%, auto-amputation 2%, and 26% of the patients died unhealed. Among the oldest (88–96 years), 31% healed without any amputation. Extensive comorbidities were frequent: neuropathy 93%, visual impairment 73%, cardiovascular disease 60%, cerebrovascular disease 34%, and severe peripheral disease in 29% of the patients. Out of patients (80%) living in institutions or dependent on home nursing, 56% healed without amputation, compared to 44% of patients living in their own home without any support from social services or home nursing. Conclusion: Healing without major amputation was achieved in 84% of surviving patients ≥75 years, despite extensive comorbidity and dependency.</p>}},
author = {{Gershater, Magdalena Annersten and Apelqvist, Jan}},
issn = {{1473-7167}},
keywords = {{Amputation; complications; diabetes mellitus; diabetic foot ulcers; healing; home nursing; neuropathy; peripheral vascular disease}},
language = {{eng}},
number = {{2}},
pages = {{277--284}},
publisher = {{Taylor & Francis}},
series = {{Expert Review of Pharmacoeconomics and Outcomes Research}},
title = {{Elderly individuals with diabetes and foot ulcer have a probability for healing despite extensive comorbidity and dependency}},
url = {{http://dx.doi.org/10.1080/14737167.2020.1773804}},
doi = {{10.1080/14737167.2020.1773804}},
volume = {{21}},
year = {{2021}},
}