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The International Journal of Lower Extremity Wounds
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Early Predictors for Lower Extremity Amputation in a Diabetic Population: Results of a Case-Controlled Study

Stacey R. Smith, DPM

Department of Podiatry, Research Institute, St. Lukes Hospital & Health Network, Bethlehem, Pa, USA, smithsr72{at}aol.com

James F. Reed, III, PhD

Research Institute, St. Lukes Hospital & Health Network, Bethlehem, Pa, USA

Gary Greenberg, DPM

Department of Podiatry, Research Institute, St. Lukes Hospital & Health Network, Bethlehem, Pa, USA

Lower extremity amputation is devastating to any person and is a very real complication for a diabetic. Identifying early risk factors is tantamount to saving a limb. This study used the national hospital discharge survey to identify 2206 control patients and 2098 diabetic patients with a lower extremity amputation. These patients were not limited based on gender or race as in previous studies. The results show that nephropathy and retinopathy are early predictors.

Key Words: lower extremity • amputation • predictors • nephropathy • retinopathy • cardiovascular disease

The International Journal of Lower Extremity Wounds, Vol. 1, No. 3, 170-173 (2002)
DOI: 10.1177/153473460200100304
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