{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:41:05Z","timestamp":1786977665325,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Diabetic foot ulcerations or infections (DFUs\/DFIs) are common complications of patients with diabetes. This study aimed to explore the impact of non\u2010dialysis and dialysis CKD on hospitalized patients with DFUs\/DFIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted using the National Inpatient Sample database for the years 2017 and 2018. Patients hospitalized for DFUs\/DFIs were included in the study. The primary outcome was lower limb amputations. The secondary outcomes were inpatient mortality, sepsis, length of stay (LOS), total hospitalization charges (THC) and disposition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 121,815 hospitalizations were included (26.1% non\u2010dialysis CKD; 8.4% dialysis CKD). There was no significant difference in amputation rates between those on non\u2010dialysis CKD (adjusted odds ratio [aOR]: 0.96; 95% confidence interval [CI]: 0.87\u20131.06) and dialysis CKD (aOR: 1.04, [95% CI: 0.91\u20131.12]) when compared to non\u2010CKD group. Dialysis CKD group had increased odds of undergoing major amputation (aOR: 1.74, [95% CI: 1.32\u20132.29]), in\u2010hospital mortality (aOR: 3.77 [95% CI: 1.94\u20137.31]), sepsis (aOR: 1.83 [95% CI: 1.27\u20132.62]), longer LOS (adjusted mean difference [aMD]: 1.46 [95 CI: 1.12\u20131.80) and higher THC (adjusted mean difference [aMD]: $20,148 [95% CI: $15,968\u2010$24,327]). Non\u2010dialysis CKD group had increased odds of sepsis (aOR: 1.36 [95% CI: 1.02\u20131.82]), less likely to be discharged home (aOR: 0.87 [95% CI: 0.80\u20130.95]), longer LOS (aMD: 0.91 [95% CI 0.69\u20131.13]) and higher THC (aMD: $20,148 [95% CI: $15,968\u2013$24,327]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with CKD on dialysis had higher odds of undergoing major amputation. CKD increased the odds of in\u2010hospital morbidity and resource utilization, with the most significant is for those on dialysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/edm2.277","type":"journal-article","created":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T14:58:14Z","timestamp":1623337094000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Clinical outcomes among patients with chronic kidney disease hospitalized with diabetic foot disorders: A nationwide retrospective study"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1148-8940","authenticated-orcid":false,"given":"Michael","family":"Salim","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Mount Sinai Hospital Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-006-0491-1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2176"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-020-00383-2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734617707081"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1938640017694722"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001576"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.02.117"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2005.07.005"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2003.50000"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.05.027"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.12701\/yujm.2020.00129"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-019-0345-y"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S165967"},{"key":"e_1_2_9_16_1","unstructured":"HCUP\u2010US Home Page. 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