探索糖尿病患者下肢截肢的潜在风险因素-瑞典的一项国家观察队列研究
Simon Ramstrand1,2, Michael Carlberg3, Gustav Jarl1
1Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
Journal of foot and ankle research
|September 1, 2024
概括
年龄较大,男性性别,离婚,吸烟,胰岛素使用和体力活动较低会增加糖尿病患者下肢截肢的风险. 肥胖与较低的风险有关.
科学领域:
- 糖尿病学 糖尿病学
- 血管外科 血管外科
- 公共卫生 公共卫生
背景情况:
- 下肢截肢 (LLA) 是糖尿病的一种严重并发症.
- 糖尿病患者LLA的危险因素需要进一步调查.
研究的目的:
- 检查新诊断糖尿病患者中与LLA相关的人口,社会经济,医疗和生活方式风险因素.
主要方法:
- 使用了瑞典国家糖尿病登记 (2007-2016) 与66,569名参与者.
- 采用考克斯的比例危险模型来分析LLA的风险因素.
- 从诊断到截肢,移民,死亡或研究结束 (2017) 随访个人.
主要成果:
- 随着年龄的增加,男性性别,离婚,吸烟,胰岛素治疗和身体活动的减少,观察到LLA的风险更高.
- 在基线时足部风险增加的个体具有显著更高的LLA风险.
- 肥胖与LLA风险降低有关.
结论:
- 糖尿病中LLA的主要风险因素包括年龄,性别,婚姻状况,吸烟,胰岛素使用,体力活动和足部风险.
- 在LLA风险和教育,起源,糖尿病类型,葡萄糖,脂质或功能之间没有发现显著的关联.
- 在这种糖尿病人群中,肥胖似乎对LLA有保护作用.
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