1311: Association of smoking with peripheral vascular disease in patients with “diabetic foot”.

Conference: 
Author(s): 
I. Gkaitartzakis 1, E. Linardoutsou 1, C. Verras 1, R. Paparigopoulos1, K. Botsios1, G. Tsilimidos1, E. Chelioti2
1 Department of General Medicine, General Hospital of Piraeus,Tzaneio, Piraeus, Greece; 2 Department of Nephrology and Renal Unit,Department of General Medicine, General Hospital of Piraeus,Tzaneio, Piraeus, Greece
Text: 
Purpose: Purpose of our study was to associate smoking with peripheral vascular disease (PVD) in patients with “diabetic foot”.
Material and method: We studied 147 patients with “diabetic foot”, 85 men (57,8%) and 62 women (42,2%). Ankle-brachial index was measured at rest. Parameters that were evaluated from the medical history of the patients were age (A), duration of smoking (DS), severity of smoking (SS),severity of PVD (SPVD),duration of the disease (DD), body mass index (BMI) and metabolic control (HbA1c).
Results: Of the 147 patients, with mean age 64±10 years old, 91 (61,9%) had a history of smoking. Of these 80 (87,9%) had diabetes mellitus type2 (DM2),and 11 DM1.The 21 patients (29,7%) had stopped smoking while 64 (70,3%) were active smokers. The duration of diabetes was 16,3±7,22 years and the mean value of HbA1c was 9,87±2,13%.The DS was 37±24 years with a daily consumption of cigarettes is 39±18.These patients had BMI 27,2±5,1.Positive correlation exists between the severity of lesions and the severity of smoking compared with non-smokers p=0,000.
Conclusions: The grade of PVD and the severity of the injury does not appear to be affected by stopping or continuing smoking. Contrary in our patients with “diabetic foot” lesions, the duration and severity of smoking have a dominant role in PVD.

Disclosure: No conflict of interest declared