Forums - General Discussion - Diabetic awareness after amputation

https://ncbi.nlm.nih.gov/pubmed/28865844

You only live extremely short life 

Factors affecting lifespan following below-knee amputation in diabetic patients.

Author informationhttp://static.pubmed.gov/portal/portal3rc.fcgi/4179052/img/3974597) 0px -21px no-repeat scroll transparent; width: 16px; height: 16px;"> 

Abstract

INTRODUCTION:

Untreatable foot problems in diabetics may require lower extremity amputation, which has a high level of patient mortality. This high mortality rate is worse than most malignancies. The present study aimed to identify parameters that can be used to estimate survival in DM patients undergoing below-knee amputations for diabetic foot problems.

MATERIALS AND METHODS:

A total of 470 patients (299 males, 171 females) with a mean age of 64.32 years who underwent below-knee amputation for diabetic foot problems between 2004 and 2014 were enrolled in the study. The length of time from the operation to time of death was recorded in days. Patient details were obtained, including age during surgery, BMI, oral antidiabetic and insulin usage, dialysis therapy history, lower extremity endovascular intervention, previous amputation at the same extremity, the need for stump revision surgery during follow-up, and above-knee amputation at the same site. Biochemical test results of pre-operative HbA1c, ESR, and levels of CRP, BUN, and creatinine were also obtained.

RESULTS:

A total of 333 patients (70.9%) died and 137 (29.1%) survived post-surgery. Survival rates were 90% in the first 7 days, 84% in the first 30 days, and 64% after the first year. Patient median life expectancy post-surgery was 930 ± 106 days. Hemodialysis treatment (p = 0.001), endovascular intervention (p = 0.04), sex (p = 0.004), age (p = 0.001), BUN level (p = 0.001), and duration of insulin use (p = 0.003) were shown to be effective predictors of mortality.

CONCLUSIONS:

Life expectancy is low (<3 years) in DM patients requiring below-knee amputations for untreatable foot problems. Survival could be predicted by duration of insulin use, age, sex, and renal insufficiency.



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Eh. That's odd - and sad.



Zkuq said:
Eh. That's odd - and sad.

What I dont get why doctors don't tell Diabetics that after amupation they have so little time to live?



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Mean age of 64 years and probably if not likely living unhealthy and definitely already having massive health issues before.



I know someone who has diabetes and had to have his leg amputated as a result. Unfortunately he still doesn't have the healthiest diet.



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VGPolyglot said:
I know someone who has diabetes and had to have his leg amputated as a result. Unfortunately he still doesn't have the healthiest diet.

When did he get amputated and what is his diet?



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Are DM patients more prone to below knee problems?



    

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dx11332sega said:
Zkuq said:
Eh. That's odd - and sad.

What I dont get why doctors don't tell Diabetics that after amupation they have so little time to live?

Because it's not necessarily a cause and effect relationship.  Factors like age, lifestyle, and overall health are massive factors.  Someone who is 70 years old with an unhealthy diet might not live nearly as long as someone who is younger and willing to change bad habits.  I would guess that the majority of people who have an amputation due to diabetic complications aren't the picture of health to begin with.

A friend of mine had a leg amputated a few years ago.  Why?  Mostly because he wouldn't give up cheap snack cakes and Mountain Dew.  His amputation is more like a symptom of his irresponsibility than the cause of his declining healthy.  



pokoko said:
dx11332sega said:

What I dont get why doctors don't tell Diabetics that after amupation they have so little time to live?

Because it's not necessarily a cause and effect relationship.  Factors like age, lifestyle, and overall health are massive factors.  Someone who is 70 years old with an unhealthy diet might not live nearly as long as someone who is younger and willing to change bad habits.  I would guess that the majority of people who have an amputation due to diabetic complications aren't the picture of health to begin with.

A friend of mine had a leg amputated a few years ago.  Why?  Mostly because he wouldn't give up cheap snack cakes and Mountain Dew.  His amputation is more like a symptom of his irresponsibility than the cause of his declining healthy.  

What's his age? How many since amputation?



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Well My grandpa died at 46 from a small dirty nail he stepped and didn't go to doctor instead he used rubbing alcohal it got infected then they cut his leg below the knee 3 years pass he dies at 46 he had diabetes .seriously a small nail ? but yeah I heard after amputation the mnost A person can live after amputation is 3 years and 20% survivors live 5 years



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