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. 2018 Apr 16;41(7):1478–1485. doi: 10.2337/dc17-1683

Table 3.

Association of A1C change from baseline and long-term (≥90 day) wound healing among wounds with baseline A1C <7.5%

Unadjusted (n = 129)
Model 1 (n = 129)
Model 2 (n = 118)
Model 3 (n = 117)
N HR 95% CI P value HR 95% CI P value HR 95% CI P value HR 95% CI P value
ΔNadir A1C
 Tertile 1 (−1.7 to −0.3) 47 0.67 0.41–1.09 0.11 0.64 0.36–1.14 0.13 0.85 0.48–1.50 0.58 0.85 0.48–1.51 0.29
 Tertile 2 (−0.29 to 0.0) 54 1.00 Ref 1.00 Ref 1.00 Ref 1.00 Ref
 Tertile 3 (0.09–2.4) 28 1.29 0.77–2.17 0.34 1.30 0.76–2.22 0.34 1.90 1.03–3.53 0.04 2.07 1.08–4.00 0.03
ΔMean A1C
 Tertile 1 (−1.4 to 0.0) 69 1.02 0.54–1.95 0.07 0.96 0.39–2.38 0.93 0.78 0.30–2.02 0.61 0.85 0.27–2.72 0.79
 Tertile 2 (0.02–0.3) 17 1.00 Ref 1.00 Ref 1.00 Ref 1.00 Ref
 Tertile 3 (0.35–4.25) 43 1.20 0.62–2.35 0.55 1.19 0.45–3.10 0.73 0.97 0.33–2.84 0.96 1.06 0.32–3.56 0.93

N, number of wounds; Δ, change (from baseline).

Bold values indicate statistical significance (P < 0.05).

Model 1: adjusted for WIfI classification system (stage 1–4) and wound intervention (wound care vs. surgery). Model 2: adjusted for WIfI, wound intervention, age, smoking status, antibiotic use, eGFR stages, history of kidney transplant, and history of amputation; 11 observations were dropped due to missing eGFR data. Model 3: adjusted for WIfI, wound intervention, age, smoking status, antibiotic use, eGFR stages, history of kidney transplant, history of amputation, and total insulin dose (units/kg) assessed in tertiles (tertile 1: 0.00; tertile 2: 0.11–0.26; tertile 3: 0.27–3.28); 12 observations were dropped (11 missing eGFR data and 1 missing insulin dose).