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Associations of estimated glomerular filtration rate with all-cause mortality and cardiovascular mortality in patients with diabetic foot osteomyelitis

International Journal of General Medicine Aug 18, 2021

Huang J, Li W, Wei S, et al. - In this retrospective observational study, in people with diabetic foot osteomyelitis (DFO), a lower estimated glomerular filtration rate (eGFR) is a risk factor for all-cause mortality and major cardiovascular adverse events (MACE). Furthermore, males with lower eGFR had a higher risk of all-cause mortality and MACE, whereas females did not.

  • The sample consisted of 199 patients with DFO.

  • Study participants were divided into three groups by eGFR: normal kidney function group (eGFR ≥ 90), mildly decreased kidney function group (eGFR 60– 89) and moderately to severely decreased kidney function group (eGFR < 60).

  • All-cause mortality occurred in 51 (25.63%) of the 199 individuals during follow-up, 54 (28.72%) had MACE in 188 people, and 26 (48.15%) died.

  • After fully adjusting for potential confounders, eGFR ≥ 90 mL/min/1.73 m 2 had a lower incidence of all-cause mortality and MACE than eGFR < 90 mL/min/1.73 m 2.

  • eGFR ≥ 90 mL/min/1.73 m 2 was also independently linked to a lower risk of all-cause mortality and MACE in males, but not in females, as compared with eGFR < 90 mL/min/1.73 m 2.

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