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Diabetic amputations in the VA: are there opportunities for interventions?
G G Fotieo1, G E Reiber, J S Carter
1Albuquerque VA Medical Center, NM 87109, USA. fotieo.gregory@albuquerque.va.gov
Journal of Rehabilitation Research and Development
|February 5, 2000
Summary
Veterans with diabetes undergoing lower limb amputation (LLA) primarily receive care from the VA and could benefit from prevention programs. Targeting those with prior amputations and ensuring proper footwear are key to reducing future LLA.
Area of Science:
- Podiatry
- Veterans Health
- Diabetes Complications
Background:
- Lower limb amputation (LLA) is a severe complication for veterans with diabetes.
- Preventing LLA is a priority for the Veterans Affairs (VA) Healthcare system.
Purpose of the Study:
- Describe outpatient care sources for veterans with diabetes who experienced LLA.
- Assess potential impact of a VA amputation prevention program.
- Detail amputation history, footwear use, and amputation-related events.
Main Methods:
- Retrospective review of patient care sources.
- Analysis of prior amputation history.
- Examination of footwear history and pivotal events leading to amputation.
Main Results:
- Most subjects received primary care from the VA, indicating eligibility for prevention programs.
- Over half of subjects had a prior amputation.
- Footwear prescription may reduce shoe-related ulcers and amputations.
Conclusions:
- VA healthcare system can effectively reach veterans with diabetes at risk for LLA.
- Veterans with a history of amputation require targeted foot care interventions.
- Protective footwear is crucial in preventing diabetic foot ulcers and subsequent amputations.