城市印度糖尿病足的负担:基于社区卫生保健设置的研究
Priti Patil1, Satish Mishra2, Anita Gadgil2
1Department of Statistics, BARC Hospital, Mumbai, Maharashtra, India.
Indian journal of endocrinology and metabolism
|December 16, 2024
概括
糖尿病足 (DFU) 在印度很常见. 老年患者和高血糖水平 (HbA1c>7%) 的患者面临明显更高的DFU发展风险,其中一些需要截肢.
科学领域:
- 糖尿病学 糖尿病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 糖尿病足 (DFU) 是糖尿病患者住院的主要原因.
- 了解城市印度社区的DFU发生率和风险因素对于有针对性的干预至关重要.
研究的目的:
- 为了确定DFU在城市印度社区的发病率.
- 研究糖尿病患者的血糖控制,年龄,性别和DFU发展之间的关系.
主要方法:
- 在孟买从2016年至2018年进行了一项回顾性观察性研究.
- 来自电子病历的数据被用来估计DFU发生率,并使用后勤回归分析风险因素.
主要成果:
- 该研究发现,每年每10,000名PWD有66例DFU病例的平均发病率.
- 老年患者 (≥60岁) 患DFU的几率高出2.86倍.
- 低血糖控制 (HbA1c>7%) 增加了1.71倍的DFU风险.
- 15.29%的DFU患者需要截肢.
结论:
- 高血糖水平和老年是印度城市人口中DFU的重要风险因素.
- 社区一级的发病数据强调了需要主动的DFU管理策略.
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