Research Article

The Geriatric Nutritional Risk Index Independently Predicts Mortality in Diabetic Foot Ulcers Patients Undergoing Amputations

Table 1

Baseline patient characteristics.

OverallHigh GNRI (≥92)Low GNRI (<92) value

Case (%)271133138

Age, years66.9 ± 11.167.4 ± 11.466.4 ± 10.80.444

Male (%)162 (59.8)83 (62.4)79 (57.2)0.387

BMI, kg/m223.0 ± 3.124.4 ± 2.921.7 ± 2.6<0.001

Systolic blood pressure, mmHg243.6 ± 23.0147.5 ± 23.7139.8 ± 21.80.006
Diastolic blood pressure, mmHg75.0 ± 11.976.0 ± 11.774.0 ± 12.00.155

Duration of diabetes, years10.0 (4.0–15.0)10 (4.0–15.0)10.0 (5–15.3)0.197

Duration of diabetic foot ulcers, months1.0 (0.67–3)2 (0.8–4)1 (0.5–3.0)0.031

Wagner classification0.073
 214 (4.2)7 (5.1)7 (5.3)
 391 (33.6)52 (39.1)39 (28.3)
 4162 (33.6)74 (55.6)88 (63.8)
 54 (1.5)0 (0)4 (2.9)

Comorbidity (%)
 Hypertension165 (60.9)88 (66.2)77 (55.8)0.080
 Cerebral vascular disease38 (14.0)17 (12.8)21 (15.2)0.564
 Coronary artery disease26 (9.6)17 (12.8)9 (6.5)0.080
 Peripheral arterial disease254 (93.7)127 (95.5)127 (92)0.240

History (%)
 Smoking (current or ever)94 (34.7)55 (41.4)39 (28.6)0.024
 Drinking (current or ever)79 (29.2)42 (31.6)37 (26.8)0.388
 lower limb revascularization52 (19.2)30 (22.6)22 (15.9)0.167

Laboratory date
 Hemoglobin, g/L108.5 ± 18.6113.5 ± 18.2103.7 ± 17.8<0.001
 White blood cell, 109/L8.9 (6.9–11.7)8.23 (6.0–10.4)10.0 (7.8–13.01)<0.001
 Lymphocyte, 109/L1.5 ± 0.71.6 ± 0.71.5 ± 0.60.530
 Blood platelet 109/L276.6 ± 101.4248 ± 85.0303 ± 108.6<0.001
 Albumin, g/L33.25 ± 5.536.9 ± 3.929.7 ± 4.4<0.001
 Cholesterol, mmol/L4.2 ± 1.24.4 ± 1.14.0 ± 1.20.004
 Triglycerides, mmol/L1.24 (0.91–1.24)1.3 (0.9–1.9)1.2 (0.9–1.6)0.273
 HDL-C, mmol/L0.9 ± 0.31.0 ± 0.30.8 ± 0.3<0.001
 LDL-C, mmol/L2.4 (1.8–3.0)2.3 (1.8–2.9)2.5 (1.9–3.10)0.025
 Creatinine, μmol/L69 (56–92)71 (57–92.5)67.0 (54.0–91.5)0.353
 Blood urea nitrogen, mmol/L5.8 (4.3–7.4)5.8 (4.6–6.9)5.8 (4.2–7.8)0.941
 Uric acid, μmol/L273.9 ± 103.9281.6 ± 89.1266.44 ± 116.20.230
 Fibrinogen, g/L6.0 ± 1.95.6 ± 1.826.4 ± 1.88<0.001
 Fasting glucose, mmol/L8.5 (6.1–12.4)7.9 (5.95–11.1)8.9 (6.4–13.05)0.063
 eGFR87 (62.4–100.3)85.5 (62.0–99.4)89.8 (65.4–102.5)0.436
 Albuminuria151 (55.9)71 (53.4)80 (58.4)0.407

Major amputation (%)41 (15.1)14 (10.5)27 (19.6)0.038

Data are presented as either means ± standard deviation or median (interquartile range) for continuous variables or number (%) for categorical variables.
GNRI, geriatric nutritional risk index; BMI, body mass index; eGFR, estimated glomerular filtration rate; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol.