Estudios originales

Clinical and wound-related predictors for prolonged hospital stay in diabetes-related foot infections in a resource-limited setting: A retrospective cohort study

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Wound-related factors associated with prolonged hospital stay.
VariablesOutcome: Prolonged hospital stay
NoYesCrude relative riskAdjusted relative risk*
Time from admission to initial debridement
Less than 2 days75 (53.6)65 (46.4)ReferenceReference
2 days21 (47.7)23 (52.3)1.12 (0.81 to 1.57)1.12 (0.78 to 1.60)
More than 2 days19 (43.2)25 (56.8)1.22 (0.89 to 1.67)1.30 (0.99 to 1.71)
W (wound) category of the WIFI classification
114 (70.0)6 (30.0)ReferenceReference
269 (55.7)55 (44.3)1.48 (0.73 to 2.97)1.38 (0.62 to 3.08)
329 (36.3)51 (63.7)2.12 (1.06 to 4.24)1.40 (0.61 to 3.22)
Peripheral arterial disease
No40 (58.8)28 (41.2)ReferenceReference
Yes38 (38.0)62 (62.0)1.51 (1.09 to 2.08)1.29 (0.98 to 1.71)
FI (foot infection) category of the WIFI classification
05 (71.4)2 (28.6)ReferenceReference
132 (72.7)12 (27.3)0.95 (0.27 to 3.39)0.86 (0.21 to 2.24)
259 (52.7)53 (47.3)1.65 (0.50 to 5.44)0.91 (0.30 to 2.86)
317 (27.4)45 (72.6)2.54 (0.77 to 8.29)1.06 (0.33 to 3.36)
Wound length
Less than 3 cm45 (65.2)24 (34.8)ReferenceReference
3 to 5 cm41 (51.9)38 (48.1)1.38 (0.92 to 2.05)1.42 (0.99 to 2.04)
More than 5 cm14 (23.7)45 (76.3)2.19 (1.53 to 3.12)1.63 (1.17 to 2.26)
Osteomyelitis
No43 (58.9)30 (41.1)ReferenceReference
Yes72 (46.4)83 (53.6)1.30 (0.95 to 1.78)1.25 (0.87 to 1.78)
Type of definitive treatment
Bedside debridement only82 (71.3)33 (28.7)ReferenceReference
Bedside minor amputation25 (43.1)33 (56.9)1.98 (1.37 to 2.85)1.79 (1.22 to 2.63)
Major amputation or surgical debridement8 (14.5)47 (85.5)2.98 (2.18 to 4.06)2.04 (1.40 to 2.97)

WIFI: Wound, Ischemia, Foot infection Classification."Reference", indicates the reference category used for comparison in the regression model.

*Regression model includes all associated factors with p < 0.2 in the crude analysis (time from admission to initial debridement, WIFI classification categories, longer wound length, osteomyelitis, and type of definitive treatment).

Source: Prepared by the authors based on the study results.