Mortality in Asian Indians with Charcot's neuroarthropathy: a nested cohort prospective study.

Abstract:

AIMS:We studied mortality in individuals of diabetes with or without Charcot neuroarthropathy (CN). METHODS:People attending diabetic foot care facility with CN of foot (Cohort 1) were prospectively evaluated. Details pertaining to the duration of diabetes, microvascular and macrovascular complications, foot ulcer, amputation and mortality outcomes were recorded and compared with those without foot complications (Cohort 2) by multivariate logistic regression. RESULTS:Data for 260 individuals of diabetes with CN and 520 individuals without CN were analysed. Mean age at presentation with CN was 55.8 ± 9.1 years, and duration of diabetes was 12.9 ± 7.8 years. 39.8% individuals with CN had foot ulcer, and 15.3% had amputation. People with CN were younger (55 ± 9.1 vs. 59.9 ± 8.1 years, p < 0.001) and had higher prevalence of microvascular complications. A total of 39 (15%) individuals with CN and 50 (9.8%) (p = 0.03) individuals without CN died during median follow-up of 40(24-51) months. People with CN had 2.7 times (OR 2.72, 95% CI 1.4-5.2, p = 0.003) increased mortality risk when matched for potential confounders. Prevalent CAD and low eGFR predicted higher mortality in people with CN. CONCLUSIONS:People with Charcot neuroarthropathy have almost three times increased risk of mortality despite being younger at presentation.

journal_name

Acta Diabetol

journal_title

Acta diabetologica

authors

Chaudhary S,Bhansali A,Rastogi A

doi

10.1007/s00592-019-01376-9

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1259-1264

issue

12

eissn

0940-5429

issn

1432-5233

pii

10.1007/s00592-019-01376-9

journal_volume

56

pub_type

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