Identifying Risk Factors Associated With Stroke, Myocardial Infarction, Ischemic Heart Disease, and Unstable Angina in Newly Diagnosed Type 2 Diabetes Mellitus Patients

Abstract

the National Healthcare Group Diabetes Registry. All patients were followed up for at least 1 year and the outcomes of interest were death from all causes. The mortality data was obtained from the national death registry. Results: There were a total of 3,792 lower extremity amputations performed from 1 January 2008 to 31 December 2013. The mean age at amputation was 63.6 years and the mean age at death was 68.9 years. 197 patients (7.8%) died within 30 days and 577 patients (22.8%) died within 1 year. Those who died were older (68.9 years) compared to those who survivied. (62.0 years) The 30-day mortality rate was 6.3% in 2008 and it decreased steadily to 3.8% in 2013. However, the 1-year mortality rate remained constant from 19.8% in 2008 to 20.1% in 2013. ConClusions: The 1-year mortality rates of diabetes patients who underwent lower extremity amputations remained high even though 30-days mortality rates have seen a gradual decline. Further research is needed to address this high mortality rate and further interventions is are needed to prevent lower extremity amputations in patients with diabetes mellitus.