期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2020
卷号：27
期号：1
页码：76-79
DOI：10.26444/aaem/114725
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction. High amputation of the lower limb not only causes immense physical disability but also the destructionof the patient’s mental state, and helps to shorten life of patients with diabetes. The incidence of amputations in diabeticpatients is 10 times higher in comparison to non-diabetic subjects (2.8% vs. 0.29%). The purpose of the study is an analysisof the geographic variability of major non-traumatic lower limb amputation in diabetic and non-diabetic patients in Poland.Materials and method. All major non-traumatic lower limb amputations performed for the first time, in particulardatabetween 1 January 2013 – 31 December 2013, and between 1 January 2014 – December 2014, were identified in theNational Health Fund (NHF) database. In the presented study, the patients were grouped in relevant provincial departmentsof the NHF according to their place of residence, and not according to the hospital where lower limb amputation wasperformed.Results. In 2013 in Poland, 4,727 major non-traumatic lower limb amputation were performed in diabetic patients, and 4,350in 2014. On the other hand, in non-diabetic patients, 3,469 major non-traumatic lower limb amputations were performed in2013, and 3149 in 2014. The mean number indicator of major non-traumatic lower limb amputations in diabetic patients inPoland, compared to the average indicator of amputations in patients without diagnosed diabetes in Poland was 19.9-foldin 2013 and 19.4-fold higher in 2014.Conclusions. In populations of diabetic patients and individuals without diagnosed diabetes major non-traumatic lowerlimb amputations are performed over 19-fold more frequently.
