Die paratibiale Fasziotomie

Hamann, H.; Cyba-Altunbay, S.

doi:10.1007/978-3-662-07303-2_269

Cited by 3 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Amputation from the most distal level, where vascular ow and vitality is present, is preferred in order to minimize energy consumption and to make mobilization more convenient. While debridement or minor amputation is applied to 74.8 percent of patients with diabetic foot, 20.3 percent need below-knee amputation and 6.9 percent need above-knee amputation (4,5).…”

Section: Introductionmentioning

confidence: 99%

Comparison of end-of-survival below-knee and above-knee amputations with demographic, comorbidity and hematological parameters

Hançerli

Doğan²

2023

Preprint

View full text Add to dashboard Cite

Introduction: In this study, it was aimed to establish mortality predictive parameters with a higher contribution to mortality by comparing the demographic data, comorbid factors and hematological values of patients who underwent below-knee and above-knee amputation at the end of survival. Materials and Methods: Eighty-seven patients who were amputated with the diagnosis of diabetic foot between March 2014 and January 2022 and resulted in mortality due to natural causes during follow-up were included in the study. Those who were amputated below the knee were named Group 1 (50 patients), and those who were amputated above the knee were named Group 2 (37 patients). The patients' age, gender, side, comorbid diseases, ASA score, anesthesia type, time to surgery, total hospital stay, CCI (Charlson comorbidity index), ex time and hematological values at the time of first admission were compared in both groups and statistical analysis was performed. Results: Group 1 and Group 2 had similar distribution in terms of age, gender, side of operation, number of comorbid diseases, time to surgery and CCI (p>0.05). Group 2's mean ASA score, rate of admission to general anesthesia, total hospital stay and crp level were statistically higher than Group 1 (p<0.05). Ex time, albumin value and HgA1c level were statistically lower in Group 2 compared to Group 1 (p<0.05). There was no significant difference in hemogram, wbc, % lymphocyte, % neutrophil, creatinine and Na values of both groups at the time of first application (p>0.05). Conclusions: It was seen that high ASA score, low albumin value and high crp value were significant predictors of high mortality. Creatinine level and HgA1c value were quite unsuccessful in predicting mortality. Levels of evidence: Level 3, Retrospective comparative study

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison of end-of-survival below-knee and above-knee amputations with demographic, comorbidity and hematological parameters

Hançerli

Doğan²

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Amputation from the most distal level, where vascular flow and vitality are present, is preferred to minimize energy consumption and to make mobilization more convenient [4]. While debridement or minor amputation is applied to 74.8 percent of patients with diabetic foot, 20.3 percent need below‐knee amputation and 6.9 percent need above‐knee amputation [5, 6].…”

Section: Introductionmentioning

confidence: 99%

Comparison of below‐knee and above‐knee amputations with demographic, comorbidity, and haematological parameters in patients who died

Hançerli

Doğan

2023

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

Background This study aimed to establish mortality predictive parameters with a higher contribution to mortality by comparing the demographic data, comorbid factors, and haematological values of patients who underwent below-knee and above-knee amputation and had died during the follow-up period. Materials and methods Between March 2014 and January 2022, 122 patients in a single centre who developed foot gangrene due to chronic diabetes and underwent below-knee or above-knee amputation were evaluated retrospectively. Patients who died of natural causes during the post-operative period were included in the study. Those who were amputated below the knee were assigned to Group 1, and those who were amputated above the knee were assigned to Group 2. The patients’ age, gender, side of amputation, comorbid diseases, American Society of Anaesthesiologists (ASA) score, Charlson comorbidity index (CCI), death time, and haematological values at the time of first admission were compared between the two groups and statistical analyses were performed. Results Group 1 (n = 50) and Group 2 (n = 37) had similar distributions in terms of age, gender, side of operation, number of comorbidities, and CCI (p > 0.05). Group 2’s mean ASA score and c-reactive protein (CRP) levels were statistically higher than those of Group 1 (p < 0.05). Death time, albumin value, and HbA1c levels were statistically lower in Group 2 than in Group 1 (p < 0.05). There were no significant differences between the groups in haemogram, white blood cells (WBC), lymphocytes, neutrophils, creatinine, and Na values at the time of first admission (p > 0.05). Conclusion A high ASA score, low albumin value, and high CRP value were significant predictors of high mortality. Creatinine levels and HbA1c values were quite ineffective in predicting mortality. Level of evidence Level 3, retrospective comparative study.

show abstract