Foot ulceration | Amputation | ||||||
---|---|---|---|---|---|---|---|
Total (n = 81) | Left (n = 48) | Right (n = 55) | Total (n = 12) | Left (n = 8) | Right (n = 5) | ||
Foot ulcers, total no. (%) | 211 (100) | 103 (49) | 108 (51) | Amputations, total no. (%) | 20 (100) | 11 (55) | 9 (45) |
New, total no. (%) | 200 (95) | 97 (95) | 103 (95) | Minor, total no. (%)a | 18 (90) | 11 (100) | 7 (78) |
Reoccurring, total no. (%) | 11 (5) | 6 (6) | 5 (2) | Major, total no. (%)a | 2 (10) | 0 (0) | 2 (22) |
Foot ulcers per participant | Amputations per participant | ||||||
Mean (SD), range | 2.6 (2.0), 1 to 11 | 2.0 (1.2), 1 to 5 | 1.9 (1.2), 1 to 6 | Mean (SD), range | 1.7 (0.8), 1 to 3 | 0.9 (0.9), 0 to 3 | 0.8 (1.1), 0 to 3 |
Median (IQR) | 2 (1 to 4) | 2 (1 to 3) | 1 (1 to 2) | Median (IQR) | 1.5 (1 to 2) | 1.0 (0 to 1) | 0 (0 to 1.3) |
Locationb | Location | ||||||
Toes (dorsal, lateral or medial), total no. (%) | 124 (59) | 65 (63) | 59 (55) | Single toe, total no. (%) | 10 (50) | 7 (64) | 3 (33) |
Plantar toes, forefoot, midfoot, total no. (%) | 41 (19) | 18 (18) | 23 (21) | Multiple toes, total no. (%) | 4 (20) | 2 (18) | 2 (22) |
Dorsal foot, total no. (%) | 14 (7) | 7 (7) | 7 (7) | Partial toe, total no. (%) | 1 (5) | 1 (9) | 0 (0) |
Heel, total no. (%) | 32 (15) | 13 (13) | 19 (18) | Metatarsal + single toe, total no. (%) | 1 (5) | 0 (0) | 1 (11) |
Transmetatarsal, total no. (%) | 2 (10) | 1 (9) | 1 (11) | ||||
Below knee amputation, total no. (%) | 2 (10) | 0 (0) | 2 (22) | ||||
Type | Reason for amputation | ||||||
Neuropathic, total no. (%) | 23 (11) | 16 (16) | 7 (7) | Infected foot ulcer, total no. (%) | 8 (40) | 4 (36) | 4 (44) |
Neuro-ischemic, total no. (%) | 129 (61) | 61 (59) | 68 (63) | PAD/gangrene, total no. (%) | 9 (45) | 5 (46) | 4 (44) |
Ischemic, total no. (%) | 10 (5) | 5 (5) | 5 (5) | Osteomyelitis, total no. (%) | 3 (15) | 2 (18) | 1 (11) |
Pressure injury, total no. (%) | 32 (15) | 13 (13) | 19 (18) | ||||
Other/unknown, total no. (%) | 17 (8) | 8 (8) | 9 (8) | ||||
Time to first foot ulcer, mean (SD), days | 164 (127) | 178 (124) | 182 (125) | Time to first amputation, mean (SD), days | 202 (104) | 253 (90) | 130 (79) |