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Journal of Diabetes Research
Volume 2017 (2017), Article ID 4138095, 12 pages
https://doi.org/10.1155/2017/4138095
Research Article

Foot Complications in a Representative Australian Inpatient Population

1School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD, Australia
2Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
3Allied Health Research Collaborative, Metro North Hospital & Health Service, Brisbane, QLD, Australia
4Wound Management Innovation Cooperative Research Centre, Brisbane, QLD, Australia
5Faculty of Health Sciences, School of Physiotherapy, Australian Catholic University, Brisbane, QLD, Australia
6Department of Podiatry, North West Hospital & Health Service, Mount Isa, QLD, Australia
7Department of Podiatry, West Moreton Hospital & Health Service, Queensland Health, Ipswich, QLD, Australia
8Department of Podiatry, Central Queensland Hospital & Health Service, Rockhampton, QLD, Australia
9Department of Endocrinology & Diabetes, Metro North Hospital & Health Service, Brisbane, QLD, Australia

Correspondence should be addressed to Peter A. Lazzarini; ua.vog.dlq.htlaeh@inirazzal.retep

Received 18 May 2017; Accepted 18 September 2017; Published 15 October 2017

Academic Editor: Patrizio Tatti

Copyright © 2017 Peter A. Lazzarini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We investigated the prevalence and factors independently associated with foot complications in a representative inpatient population (adults admitted for any reason with and without diabetes). We analysed data from the Foot disease in inpatients study, a sample of 733 representative inpatients. Previous amputation, previous foot ulceration, peripheral arterial disease (PAD), peripheral neuropathy (PN), and foot deformity were the foot complications assessed. Sociodemographic, medical, and foot treatment history were collected. Overall, 46.0% had a foot complication with 23.9% having multiple; those with diabetes had higher prevalence of foot complications than those without diabetes (). Previous amputation (4.1%) was independently associated with previous foot ulceration, foot deformity, cerebrovascular accident, and past surgeon treatment (). Previous foot ulceration (9.8%) was associated with PN, PAD, past podiatry, and past nurse treatment (). PAD (21.0%) was associated with older age, males, indigenous people, cancer, PN, and past surgeon treatment (). PN (22.0%) was associated with older age, diabetes, mobility impairment, and PAD (). Foot deformity (22.4%) was associated with older age, mobility impairment, past podiatry treatment, and PN (). Nearly half of all inpatients had a foot complication. Those with foot complications were older, male, indigenous, had diabetes, cerebrovascular accident, mobility impairment, and other foot complications or past foot treatment.