张皓媛 1田罡 2李雪峰 3李鸿江 3闵红巍 2唐鹏 4张睿 4顾蕊 2刘克敏2
作者信息
- 1. 首都医科大学康复医学院,北京市 100068
- 2. 首都医科大学康复医学院,北京市 100068||中国康复研究中心北京博爱医院骨科,北京市 100068||北京截肢者康复会诊中心,北京市 100068
- 3. 北京市丰台康复医院外科,北京市 100071
- 4. 首都医科大学康复医学院,北京市 100068||中国康复研究中心北京博爱医院骨科,北京市 100068
- 折叠
摘要
Abstract
Objective To analyze the impact of different clinical and rehabilitation characteristics on the prognosis of diabetic foot amputees.
Methods Related literatures were searched in CNKI,Wanfang Data,PubMed,Cochrane Library and Google Scholar from establishment to August,2024.The literatures were screened and extracted by two researchers independent-ly,the Newcastle-Ottawa Scale(NOS)and the evaluation criteria recommended by Agency for Healthcare Re-search and Quality(US)were used for quality evaluation,and literatures with above medium quality were includ-ed,and a systematic review was conducted.
Results A total of 17 articles involving 9 239 subjects were included,in which three were Chinese,and 14 were English.The study designs were case-control study,cohort study and cross-sectional study.They mainly came from the fields of rehabilitation medicine,orthopedics,sports medicine and disability studies,and were published between 1998 to 2023.Clinical and rehabilitation characteristics related to the prognosis of diabetic foot amputees includ-ed amputation level,socioeconomic determinants(educational attainment,economic status,social participation,etc.),psychological states(anxiety,depression,etc.)and physiological factors(age,gender,pain,prosthetic limb usage,and ambulatory capacity,etc.).These different characteristics could affect the quality of life of diabetic foot amputees,and even lead to re-amputation or death.
Conclusion Factors of amputation level,socioeconomic status,psychological status and physiological status are impor-tant for poor prognosis in diabetic foot amputees.Controlling the above factors can effectively reduce the re-am-putation rate and mortality,and improve the quality of life in diabetic foot amputees,thus improving their progno-sis,and promoting functional rehabilitation.关键词
糖尿病足/截肢/预后/生活质量/系统综述Key words
diabetic foot/amputation/prognosis/quality of life/systematic review分类
医药卫生
