Diabetic Foot: Mortality Rates After Major Amputation

  • Hernán Eduardo Coria Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-0532-4763
  • Daniel Sartorelli Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-6781-5296
  • Bruno Taffarel Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-6619-7203
  • Matías E. Pérez Di Felice Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-5758-8384
  • Héctor S. Anfuso Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-2596-8662
  • Alicia E. Silvestri Nutrition and Diabetes Service, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0003-0925-4798
  • Emanuel Fedun Rodríguez Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-5036-2638
DOI: https://doi.org/10.15417/issn.1852-7434.2023.88.1.1592
Keywords: diabetic foot, amputation, mortality

Abstract

Introduction: Major amputations cause a high rate of morbidity and mortality. Our objectives were to evaluate the mortality rate in the first month, and 2 and 5 years after amputation for diabetic foot and to compare the mortality rate in patients with below-theknee (BKA) and above-the-knee amputations (AKA). Materials and Methods: Sixty patients with 64 major amputations, operated on between 2010 and 2018, were retrospectively evaluated. The following information was collected: personal data, laterality, University of Texas classification score, biochemical analysis results, Doppler studies, comorbidities, survival, and cause of death. The overall mortality rate and the mortality rate by type of amputation in the first month and after 2 and 5 years were calculated. Results: 58 amputations were performed in men and 6 in women (37 right, 27 left), 39 were AKA and 25 were BKA. The average age was 68 years. There were 28 deaths: 15 patients with AKA and 13 with BKA. Mortality rates were: 13.33% in the first month, 33.3% after 2 years, and 46.42% after 5 years (patients with AKA, 26.78%; patients with BKA, 19.64%). The differences in the creatinine levels of the patients who died were statistically significant. The main causes of death were cardiovascular complications. Conclusions: Mortality rates were significantly higher in patients with above-the-knee amputation. The sepsis-related mortality rate in the first month was high. Patients with kidney disease had a higher mortality rate.

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Author Biographies

Hernán Eduardo Coria, Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
2nd Head of Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Daniel Sartorelli, Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Bruno Taffarel, Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Matías E. Pérez Di Felice, Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Héctor S. Anfuso, Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Alicia E. Silvestri, Nutrition and Diabetes Service, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Nutrition and Diabetes Service, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Emanuel Fedun Rodríguez, Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina
Ankle and Foot Surgery Service, Department of Orthopedics and Traumatology, Hospital Militar Central, Autonomous City of Buenos Aires, Argentina

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Published
2023-02-17
How to Cite
Coria, H. E., Sartorelli, D., Taffarel, B., Pérez Di Felice, M. E., Anfuso, H. S., Silvestri, A. E., & Fedun Rodríguez, E. (2023). Diabetic Foot: Mortality Rates After Major Amputation. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(1), 53-58. https://doi.org/10.15417/issn.1852-7434.2023.88.1.1592
Issue
Vol 88 No 1 (2023): SAMECIPP
Section
Clinical Research
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