Patient characteristics | All (144) | Healed at 6 months (80) | Not Healed (50) | P-value |
---|---|---|---|---|
Age, years; median (IQR) | 62 (53–73) | 60.5 | 62 | 0.33 |
Sex: male, n; (%) | 114 (79.2) | 62 | 44 | 0.49 |
Type 2 Diabetes, n; (%) | 133 (92.4) | 74 | 49 | 0.24 |
Cohort recruited in 2019, n; (%) | 97 (67.4) | 52/28 | 36/14 | 0.40 |
HbA1c, %; median (IQR) | 8.9 (7.6–10.9) | 8.7 | 9.1 | 0.44 |
Chronic kidney disease stage, n; (%) | ||||
0 | 71 (49.3) | 41 | 23 | 0.98 |
1 | 2 (1.4) | 1 | 1 | |
2 | 17 (11.8) | 10 | 6 | |
3 | 33 (22.9) | 18 | 12 | |
4 | 15 (10.4) | 7 | 5 | |
5 | 6 (3.5) | 3 | 3 | |
Haemodialysis, n; (%) | 3 (2.1) | 1 | 2 | 0.31 |
Charcot neuroarthropathy (acute or chronic), n; (%) | 10 (6.9) | 6/74 | 4/46 | 0.91 |
IDSA/IWGDF Infection Score on admission (IQR) | 3 (3–4) | 3 | 3 | 0.64 |
Amputation characteristics | ||||
Amputation of first ray (hallux), n; (%) | 47 (32.6) | 26 | 16 | 0.95 |
Amputation of fifth ray, n; (%) | 53 (36.8) | 26/54 | 25/25 | 0.05 |
Most proximal amputation, n; (%) | ||||
Transphalangeal | 48 (33.3) | 30 | 13 | 0.12 |
Transmetatarsal | 96 (66.7) | 50 | 37 | |
Amputation of > 1 ray, n; (%) | 37 (25.7) | 19 | 15 | 0.43 |
Angioplasty during admission, n; (%) | 24 (16.7) | 9/71 | 12/38 | 0.05 |
Microbiology | ||||
Superficial swabs sent for culture | 118 (81.9) | 70 | 35 | 0.01 |
Culture results from superficial swab, n (%) | ||||
No growth | 28 (19.4) | 17 | 10 | 0.79 |
Monomicrobial | 65 (45.1) | 39 | 17 | |
Polymicrobial | 25 (17.4) | 14 | 8 | |
Time between swab and amputation, days; median (IQR) | 3 (1–4) | 3 | 3 | 0.98 |
Marginal bone sample sent for culture, n; (%) | 131 (91%) | 73 | 46 | 0.88 |
Culture results from marginal bone sample, n; (%) | ||||
No growth | 42 (29.2) | 24 | 14 | NS |
Monomicrobial | 51 (35.4) | 28 | 18 | |
Polymicrobial | 38 (36.4) | 21 | 14 | |
Planned antibiotic duration post amputation, weeks; median (IQR) | 2 (2–4) | 2 | 3.5 | 0.06 |
Outcome within 6 months | ||||
Further surgery, n; (%) | 35 (26.7) of 131 | 8/71 | 24/24 | < 0.0001 |