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Reamputation risk and mortality after lower-limb amputation in patients with diabetes: predictors, effects of antidiabetic medications and temporal trends - PubMed

4 hours ago
  • #Lower-limb amputation
  • #Mortality
  • #Diabetes
  • Diabetes increases the risk of reamputation and mortality after lower-limb amputation (LLA).
  • Metformin usage in type 2 diabetes patients reduces combined reamputation and mortality risk.
  • SGLT2 inhibitors are associated with increased reamputation risk but are safe regarding mortality.
  • Higher HbA1c levels, older age, atrial fibrillation, and chronic kidney disease elevate reamputation risk in diabetic patients.
  • Reamputation risk peaked between 2020-2022, while mortality declined compared to 2006-2010 in diabetic patients.
  • The study highlights the need for further research on SGLT2 inhibitors' effects post-LLA.