Incidence, outcomes, and cost of foot ulcers in patients with diabetes.

摘要: OBJECTIVE: To determine the incidence of foot ulcers in a large cohort patients with diabetes, risk developing serious complications after diagnosis, and attributable cost care compared that without ulcers. RESEARCH DESIGN AND METHODS: Retrospective study diabetes staff-model health maintenance organization from 1993 to 1995. Patients were identified by algorithm using administrative, laboratory, pharmacy records. The data used calculate ulcers, osteomyelitis, amputation, death diagnosis ulcer, costs ulcer RESULTS: Among 8,905 type 1 or 2 514 developed over 3 years observation (cumulative 5.8%). On time 77 (15%) osteomyelitis 80 (15.6%) required amputation. Survival at was 72% for versus 87% group age- sex-matched diabetic (P