Lower extremity foot ulcers and amputations in diabetes

Lower extremity ulcers and amputations are an increasing problem among individuals with diabetes. Data from the 1983-90 National Hospital Discharge Surveys (NHDS) indicate that 6% of hospitalizations listing diabetes on the discharge record also listed a lower extremity ulcer condition. Chronic ulcers were present in 2.7% of all hospitalizations that listed diabetes. The average length of stay (LOS) for diabetes discharges with ulcer conditions was 59% longer than for diabetes discharges without them. Clinical epidemiologic studies suggest that foot ulcers precede ~85% of nontraumatic lower extremity amputations (LEAs) in individuals with diabetes.

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