Objective:To investigate the prevalence of diabetic at-risk foot and its associated factors.Methods:A total of 838 hospitalized patients with type 2 diabetes were screened for at-risk foot.Neural and vascular disorder...Objective:To investigate the prevalence of diabetic at-risk foot and its associated factors.Methods:A total of 838 hospitalized patients with type 2 diabetes were screened for at-risk foot.Neural and vascular disorders were evaluated by assessing vibration perception thresholds and ankle brachial indexes (ABIs).After excluding 12 patients with abnormally high ABIs,remaining individuals with neural and/or vascular disorder were identified as at-risk patients and further classified into three subtypes:isolated neural disorder,isolated vascular disorder and mixed disorder.Potential associated factors were examined using Logistic regression models.Results:In the final sample of 826 individuals,the prevalence of diabetic at-risk foot was 30.6％.Among all at-risk patients,isolated neural disorders (69.6％) were more common than mixed (16.2％) or isolated vascular disorders (14.2％).Isolated neural and vascular disorders shared specific risk factors,including age per 20-year increment (odds ratio [95％ CI],3.73 [2.59-5.37] and 4.01 [1.98-8.11]),diabetic duration ≥10 years (1.69 11.13-2.54] and 3.29 [1.49-7.24]) and systolic blood pressure ≥140 mmHg (1.96 [1.31-2.93] and 2.90 [1.38-6.10]) respectively.In addition,isolated neural disorders were associated with a heavy smoking history (95％CI 2.69 [1.15-6.31]),increased high-sensitivity C-reactive protein levels (95％CI 1.30 [1.04-1.62]) and mild obesity (95％CI 0.49 [0.20-1.241).Isolated vascular disorders were linked with decreased high density lipoprotein (HDL) cholesterol levels (95％CI 3.42 [1.31-8.96]) and increased triglycerides levels (95％CI 2.74 [1.26-5.97]).Conclusions:Diabetic at-risk foot is epidemic among hospitalized patients with type 2 diabetes.Aging,long-term diabetes,hypertension,smoking,inflammatory response and dyslipidemia may be associated with the prevalence of diabetic at-risk foot.展开更多
文摘Objective:To investigate the prevalence of diabetic at-risk foot and its associated factors.Methods:A total of 838 hospitalized patients with type 2 diabetes were screened for at-risk foot.Neural and vascular disorders were evaluated by assessing vibration perception thresholds and ankle brachial indexes (ABIs).After excluding 12 patients with abnormally high ABIs,remaining individuals with neural and/or vascular disorder were identified as at-risk patients and further classified into three subtypes:isolated neural disorder,isolated vascular disorder and mixed disorder.Potential associated factors were examined using Logistic regression models.Results:In the final sample of 826 individuals,the prevalence of diabetic at-risk foot was 30.6％.Among all at-risk patients,isolated neural disorders (69.6％) were more common than mixed (16.2％) or isolated vascular disorders (14.2％).Isolated neural and vascular disorders shared specific risk factors,including age per 20-year increment (odds ratio [95％ CI],3.73 [2.59-5.37] and 4.01 [1.98-8.11]),diabetic duration ≥10 years (1.69 11.13-2.54] and 3.29 [1.49-7.24]) and systolic blood pressure ≥140 mmHg (1.96 [1.31-2.93] and 2.90 [1.38-6.10]) respectively.In addition,isolated neural disorders were associated with a heavy smoking history (95％CI 2.69 [1.15-6.31]),increased high-sensitivity C-reactive protein levels (95％CI 1.30 [1.04-1.62]) and mild obesity (95％CI 0.49 [0.20-1.241).Isolated vascular disorders were linked with decreased high density lipoprotein (HDL) cholesterol levels (95％CI 3.42 [1.31-8.96]) and increased triglycerides levels (95％CI 2.74 [1.26-5.97]).Conclusions:Diabetic at-risk foot is epidemic among hospitalized patients with type 2 diabetes.Aging,long-term diabetes,hypertension,smoking,inflammatory response and dyslipidemia may be associated with the prevalence of diabetic at-risk foot.
