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Reduced Incidence of Foot-Related Hospitalisation and Amputation amongst Persons with Diabetes in Queensland, Australia

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  • Peter A Lazzarini
  • Sharon R O’Rourke
  • Anthony W Russell
  • Patrick H Derhy
  • Maarten C Kamp

Abstract

Objective: To determine trends in the incidence of foot-related hospitalisation and amputation amongst persons with diabetes in Queensland (Australia) between 2005 and 2010 that coincided with changes in state-wide ambulatory diabetic foot-related complication management. Methods: All data from cases admitted for the principal reason of diabetes foot-related hospitalisation or amputation in Queensland from 2005–2010 were obtained from the Queensland Hospital Admitted Patient Data Collection dataset. Incidence rates for foot-related hospitalisation (admissions, bed days used) and amputation (total, minor, major) cases amongst persons with diabetes were calculated per 1,000 person-years with diabetes (diabetes population) and per 100,000 person-years (general population). Age-sex standardised incidence and age-sex adjusted Poisson regression models were also calculated for the general population. Results: There were 4,443 amputations, 24,917 hospital admissions and 260,085 bed days used for diabetes foot-related complications in Queensland. Incidence per 1,000 person-years with diabetes decreased from 2005 to 2010: 43.0% for hospital admissions (36.6 to 20.9), 40.1% bed days (391 to 234), 40.0% total amputations (6.47 to 3.88), 45.0% major amputations (2.18 to 1.20), 37.5% minor amputations (4.29 to 2.68) (p

Suggested Citation

  • Peter A Lazzarini & Sharon R O’Rourke & Anthony W Russell & Patrick H Derhy & Maarten C Kamp, 2015. "Reduced Incidence of Foot-Related Hospitalisation and Amputation amongst Persons with Diabetes in Queensland, Australia," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-18, June.
    • Handle: RePEc:plo:pone00:0130609
    DOI: 10.1371/journal.pone.0130609
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    Cited by:

    1. Yen‐Fan Chin & Tzu‐Ting Huang & Brend Ray‐Sea Hsu & Li‐Chueh Weng & Chih‐Ching Wang, 2019. "Factors associated with foot ulcer self‐management behaviours among hospitalised patients with diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2253-2264, June.

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