A retrospective study was made to ascertain the mortality rate among 100 consecutive patients with diabetes mellitus who had undergone lower limb amputations for infection and/or gangrene in the combined medical-orthopedic service of a county hospital. The medical and orthopedic staffs functioned as equal members, and combined decision-making conferences were held regularly. The over-all mortality rate was 9 per cent, a substantial decrease from the 22 to 25 per cent previously reported in similar studies. The mortality rate among patients with below-knee procedures was 1 per cent versus the 7 to 9 per cent reported by others. Close medical-surgical liaison on a service specializing in the care of these often fragile patients with diffuse multisystem disease results in decreased mortality.
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Original Contributions| April 01 1974
Mortality of Diabetic Patients Treated Surgically for Lower Limb Infection and/or Gangrene
Otto Kahn, M.D., F.R.C.P.(c);
William Wagner, M.D.;
Address reprint requests to: Alice N. Bessman, M.D., Chief, Diabetes Service, Rancho Los Amigos Hospital, 7601 East Imperial Highway, Downey, California 90242.
Otto Kahn, William Wagner, Alice N Bessman; Mortality of Diabetic Patients Treated Surgically for Lower Limb Infection and/or Gangrene. Diabetes 1 April 1974; 23 (4): 287–292. https://doi.org/10.2337/diab.23.4.287
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