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Mortality and complications after treatment of acute diabetic Charcot foot

Rasmus Bo Jansen1, Bo Jørgensen2, Per E Holstein2

  • 1Department of Endocrinology, Bispebjerg Hospital, University of Copenhagen, DK-2400 Copenhagen NV, Denmark.

Journal of Diabetes and Its Complications
|October 11, 2018
PubMed

Insights

Charcot foot in diabetic patients can lead to severe complications and workforce exit. Adherence to treatment significantly improves outcomes and reduces complication rates in this vulnerable population.

Area of Science:

  • Diabetology
  • Podiatry
  • Vascular Surgery

Background:

  • Charcot foot is a severe complication of diabetic neuropathy, potentially causing limb-threatening deformities.
  • Early identification and management are crucial to prevent long-term disability.

Purpose of the Study:

  • To investigate the outcomes and complications of Charcot foot in a diabetic population.
  • To assess the impact of treatment compliance on patient prognosis.

Main Methods:

  • Retrospective study of 173 patients diagnosed with Charcot foot between 1996 and 2015.
  • Data collected from medical records and the Danish Diabetes Registry.
  • Analysis of patient demographics, treatment adherence, complications, and mortality.

Main Results:

  • Type 1 diabetes patients had higher HbA1c levels compared to type 2 diabetes patients.
  • 67% of patients developed complications like ulcers; non-compliance was linked to worse outcomes.
  • Five-year mortality was 14%, comparable to diabetic patients without Charcot foot.

Conclusions:

  • Charcot foot is associated with significant complications and workforce exit.
  • Patient compliance with treatment, particularly off-loading, is critical for managing Charcot foot.
  • Mortality rates are comparable to the general diabetic population, highlighting the importance of proactive management.
Abstract

Keywords:
Charcot footComplianceComplicationsEmployment statusMortalityRetrospective follow-up

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