From: Primary care referral to multidisciplinary high risk foot services – too few, too late
Contact (n = 40) | No Contact (n = 116) | Total (n = 156) | p-value | |
---|---|---|---|---|
Demographics | ||||
Mean Age (±SD) | 63.4 (±11.8) | 65.5 (±14.1) | 65 (±13.5) | 0.40 |
Male, n (%) | 27 (67.5) | 78 (67.2) | 105 (67.3) | |
Female, n (%) | 13 (32.5) | 38 (32.8) | 51 (32.7) | 0.98 |
Medical history | ||||
Diabetes Type 1, n (%) | 4 (10.0) | 8 (6.9) | 12 (7.7) | |
Diabetes Type 2, n (%) | 36 (90.0) | 108 (93.1) | 144 (92.3) | 0.54 |
Duration of Diabetes (±SD) | 15.5 (±5.7) | 15.8 (±8.5) | 15.7 (±7.8) | 0.86 |
HbA1C (mmol/mol)/IFCC | 8.4 (±2.2)/68 | 8.7 (±2.6)/72 | 8.6 (±2.5)/70.5 | 0.44 |
Peripheral Neuropathy, n (%) | 35 (87.5) | 97 (83.6) | 132 (84.6) | 0.56 |
Peripheral Arterial Disease, n (%) | 33 (82.5) | 95 (81.9) | 128 (82.1) | 0.93 |
Ischemic Heart Disease, n (%) | 20 (50) | 58 (50) | 78 (50) | 1.00 |
Hypertension, n (%) | 36 (90) | 98 (84.5) | 134 (85.9) | 0.39 |
CKD stage 5, n (%) | 9 (22.5) | 19 (16.4) | 28 (17.9) | 0.21 |
eGFR (±SD) | 41.3 (±26.5) | 47.8 (±28.7) | 46.2 (±28.2) | 0.001* |
Length of Stay, n (IQR) | 8 (7–12) | 11 (6–24) | 10 (10–19.5) | 0.63 |
LAB | ||||
White Cell Count, n (IQR) | 10.75 (8–15) | 12.1 (10–15) | 11.8 (9–15) | 0.24 |
Presenting ESR (mmol/L), n (IQR) | 57 (34–86) | 57 (26–77) | 57 (27–77) | 0.69 |
Presenting CRP (mg/l), n (IQR) | 76.35 (23–155) | 69.75 (32–172) | 73.7 (29–166) | 0.99 |
Infection severity | ||||
IDSA grade Moderate, n (%) | 28 (70 %) | 77 (66.4 %) | 105 (67.3 %) | 0.68 |
IDSA grade Severe, n (%) | 12 (30 %) | 39 (33.6 %) | 51 (32.7 %) | 0.68 |
Texas classification | ||||
1B, n (%) | 1 (2.5) | 6 (5.2) | 7 (4.5) | 0.48 |
1D, n (%) | 6 (15) | 21 (18.1) | 27 (17.3) | 0.66 |
2B, n (%) | 3 (7.5) | 11 (9.5) | 14 (9) | 0.71 |
2D, n (%) | 12 (30) | 52 (44.8) | 64 (41) | 0.10 |
3B, n (%) | 3 (7.5) | 5 (4.3) | 8 (5.1) | 0.43 |
3D, n (%) | 15 (37.5) | 21 (18.1) | 36 (23.1) | 0.01* |
Surgery type | ||||
Surgical debridement, n (%) | 7 (17.5) | 28 (24.1) | 35 (22.4) | 0.39 |
PTA, n (%) | 6 (15) | 34 (29.3) | 40 (25.6) | 0.08* |
Bypass, n (%) | 0 (0) | 3 (2.6) | 3 (1.9) | 0.31 |
Amputation, n (%) | 23 (57.5) | 77 (66.4) | 100 (64.1) | 0.32 |
Forefoot/digital, n (%) | 16 (40) | 51 (44) | 67 (42.9) | 0.66 |
TMA, n (%) | 0 (0) | 0 (0) | 0 (0) | |
BKA, n (%) | 8 (20) | 18 (15.5) | 26 (16.7) | 0.51 |
AKA, n (%) | 0 (0) | 8 (6.9) | 8 (5.1) | 0.09* |