Here - EWMA 2013

ORAL PRESENTATIONS
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Presentation of LUP project (WMAS)
Free Paper Session: Leg Ulcers III
Nada Kecelj Leskovec 1.
1 Dermatovenerological Clinic, Clinical Centre Ljubljana (Ljubljana, Slovenia).
FREE PAPER SESSION: DIABETIC FOOT I
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Free Paper Session: Diabetic Foot I
AN ANALYSIS OF DIABETES RELATED LOWER LIMB AMPUTATIONS IN A LARGE
URBAN TEACHING HOSPITAL IN IRELAND
Pauline Wilson 1 , Corey Gillan 1
1 St James Hospital (Dublin, Ireland).
Aims: To examine the incidence, 1-year mortality rate and factors associated with
diabetes-related lower limb amputations (LLA) in a major teaching hospital:
Methods: A retrospective examination of data associated with all adults who underwent
a lower limb amputation over 2 separate years was conducted using 4 different hospital
databases. Diabetes, Vascular Electronic Healthcare record and Patient administration.
Patients were classified as having or not having diabetes and a major or minor lower
limb amputation according to ICD-10 diagnosis and procedure codes. 1-year mortality
was established using the hospital’s Patient Administration database supplemented by a
third-party website.
Results: Total diabetes-related LLA increased significantly between the two years
examined: 11 in 2007 to 21 in 2010. The increase in procedure numbers was entirely
within the minor category (from 5 in 2007 to 16 in 2010) with a small reduction in the
number of major procedures (from 6 in 2007 to 5 in 2010). Mortality after one year was
calculated at 18% in 2007 rising insignificantly to 24% in 2010.
Conclusion: The study indicated a considerable fragmentation of patient records and
identified an extensive lack of communication between both primary and secondary, and
urban and rural, care-providers highlighting the need for a comprehensive, unified
database. It also indicated a substantial increase in the number of minor-LLA procedures
between 2007 and 2010 with the number of major-procedures remaining relatively
unchanged.
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