Handgrip strength but not malnutrition according GLIM criteria is a risk factor for mortality in hospitalized patients with ischemic diabetic foot ulcers - PubMed

• Updated on: 2022-06-18
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. 2021 Sep 1.
doi: 10.1089/wound.2021.0109. Online ahead of print.
Handgrip strength but not malnutrition according GLIM criteria is a risk factor for mortality in hospitalized patients with ischemic diabetic foot ulcers
Affiliations
1 Hospital Juan Ramón Jiménez, 16839, Endocrinology, Huelva, Andalucía, Spain; eukane_lpz@hotmail.com.
2 Hospital Policlínico La Paloma, 222000, Surgery. Diabetic Foot Unit, Maestro Valle, 20, Las Palmas de Gran Canaria, Spain, 35005; javiaragon@telefonica.net.
3 Costa Rican Social Security, 42697, Diabetic Foot Unit, San José, San Jose, Costa Rica, 6091011; drviquezm@gmail.com.
PMID: 34465187
DOI: 10.1089/wound.2021.0109
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Handgrip strength but not malnutrition according GLIM criteria is a risk factor for mortality in hospitalized patients with ischemic diabetic foot ulcers
María Eugenia López-Valverde et al. Adv Wound Care (New Rochelle).
2021
Adv Wound Care (New Rochelle)
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doi: 10.1089/wound.2021.0109. Online ahead of print.
Authors
Affiliations
1 Hospital Juan Ramón Jiménez, 16839, Endocrinology, Huelva, Andalucía, Spain; eukane_lpz@hotmail.com.
2 Hospital Policlínico La Paloma, 222000, Surgery. Diabetic Foot Unit, Maestro Valle, 20, Las Palmas de Gran Canaria, Spain, 35005; javiaragon@telefonica.net.
3 Costa Rican Social Security, 42697, Diabetic Foot Unit, San José, San Jose, Costa Rica, 6091011; drviquezm@gmail.com.
PMID: 34465187
Format
Abstract
Objective This study aimed to test the hypothesis that patients with malnutrition and impaired of muscle function determined by hand grip strength (HGS) will have adverse outcomes. Approach We conducted a prospective observational study of 77 patients admitted for ischemic diabetic foot ulcers (IDFU). GLIM criteria were used to diagnose malnutrition. Values obtained with a dynamometer were dichotomized into values < and ≥ mean according to the values obtained in both sexes. The Cox proportional hazards model the Kaplan-Meier method was applied. STROBE guidelines for cohorts were met in the present study. Results In total, 55 patients (71.4%) were malnourished. Malnutrition according to GLIM criteria was not associated with adverse outcomes. HGS
69years (HR 4.0, 95% CI 1.3-12.0, p = 0.01), and HGS
< 0.01. Innovation HGS is an easy and useful tool associated with nutritional parameters and with prognosis in patients admitted for IDFU. Conclusions Neither malnutrition nor muscle function impairment were associated with limb loss or a need for readmission. Patients with HGS
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