Neuropathy May Be an Independent Risk Factor for Amputation After Lower-Extremity Burn in Adults With Diabetes | Zendy

Soman Sen | Zendy; Alura Barsun | Zendy; Kathleen S Romanowski | Zendy; Tina L. Palmieri | Zendy; David G. Greenhalgh | Zendy

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Neuropathy May Be an Independent Risk Factor for Amputation After Lower-Extremity Burn in Adults With Diabetes

Author(s) -

Soman Sen,

Alura Barsun,

Kathleen S Romanowski,

Tina L. Palmieri,

David G. Greenhalgh

Publication year - 2019

Publication title -

clinical diabetes

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.931

H-Index - 37

eISSN - 1945-4953

pISSN - 0891-8929

DOI - 10.2337/cd18-0066

Subject(s) - medicine , diabetes mellitus , amputation , burn injury , referral , surgery , risk factor , psychological intervention , thermal burn , rehabilitation , physical therapy , endocrinology , family medicine , psychiatry

IN BRIEF Treatment of lower-extremity burn injuries in adults with diabetes can be complex, and some diabetes-related factors can lead to impaired healing of such wounds, putting patients at risk of amputation. In this retrospective review of adult patients with lower-extremity burns, patients with pre-injury neuropathy and higher A1C levels were more likely to require amputations after their burn injury. The authors conclude that lower-extremity burn injuries in patients with diabetes require close follow-up and possibly referral to a burn specialist for interventions and treatment strategies to offset more serious complications.

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