Table 3.
Distribution of contingency tables by each exposure variable according to clinical outcome of amputation severity by diabetes mellitus, Fortaleza, Ceará, Brazil, 2017–2018.
| Exposure Variables1 | Categories | LLA Severity2 |
|||||
|---|---|---|---|---|---|---|---|
| Outcome 1 |
Outcome 2 |
Outcome 3 |
|||||
| 1 | 0 | 2 | 0 | 3 | 0 | ||
| Age | ≥67 | 46 | 46 | 65 | 46 | 49 | 46 |
| <67 | 51 | 55 | 42 | 55 | 31 | 55 | |
| χ2 | p = 0.902 | p = 0.04 | p = 0.051∗ | ||||
| Gender | Male | 64 | 49 | 55 | 49 | 58 | 49 |
| Female | 33 | 52 | 52 | 42 | 22 | 52 | |
| χ2 | p = 0.019 | p = 0.781 | p = 0.002 | ||||
| Education Level | Incomplete | 31 | 37 | 38 | 37 | 33 | 37 |
| Elementary | 49 | 50 | 52 | 50 | 35 | 50 | |
| Illiterate | 17 | 14 | 17 | 14 | 12 | 14 | |
| χ2 | p = 0.688 | p = 0.919 | p = 0.74 | ||||
| City | Rural | 40 | 41 | 52 | 41 | 39 | 41 |
| Fortaleza | 57 | 60 | 55 | 60 | 41 | 60 | |
| χ2 | p = 1 | p = 0.307 | p = 0.344 | ||||
| PKDM | No | 10 | 16 | 26 | 16 | 4 | 16 |
| Yes | 87 | 85 | 81 | 85 | 76 | 85 | |
| χ2 | p = 0.346 | p = 0.178 | p = 0.038 | ||||
| Smoking | Yes | 53 | 54 | 55 | 54 | 44 | 54 |
| No | 44 | 47 | 52 | 47 | 36 | 47 | |
| χ2 | p = 0.982 | p = 0.25 | p = 0.956 | ||||
| Alcoholism | Yes | 37 | 33 | 41 | 33 | 44 | 33 |
| No | 60 | 68 | 66 | 68 | 36 | 68 | |
| χ2 | p = 0.512 | p = 0.481 | p = 0.004 | ||||
| CVD | Yes | 30 | 28 | 58 | 28 | 34 | 28 |
| No | 67 | 73 | 49 | 73 | 46 | 73 | |
| χ2 | p = 0.735 | p < 0.001 | p = 0.055 | ||||
| SAH | Yes | 61 | 74 | 85 | 74 | 63 | 74 |
| No | 36 | 27 | 22 | 27 | 17 | 27 | |
| χ2 | p = 0.157 | p = 0.376 | p = 0.497 | ||||
| Glucometer | No | 47 | 52 | 63 | 52 | 22 | 52 |
| Yes | 50 | 49 | 44 | 49 | 58 | 49 | |
| χ2 | p = 0.776 | p = 0.351 | p = 0.002 | ||||
| Daily use of Gl. | No | 70 | 79 | 92 | 79 | 55 | 79 |
| Yes | 27 | 22 | 15 | 22 | 25 | 22 | |
| χ2 | p = 0.411 | p = 0.2 | p = 0.203 | ||||
| Hypoglycemic | No | 26 | 30 | 41 | 30 | 21 | 30 |
| Yes | 71 | 71 | 66 | 71 | 59 | 71 | |
| χ2 | p = 0.768 | p = 0.245 | p = 0.729 | ||||
| Insulin | No | 52 | 56 | 72 | 56 | 29 | 56 |
| Yes | 45 | 45 | 35 | 45 | 51 | 45 | |
| χ2 | p = 0.907 | p = 0.107 | p = 0.016 | ||||
| Freq.-Primary Care | Never | 25 | 25 | 45 | 25 | 22 | 25 |
| Rarely | 13 | 19 | 13 | 19 | 10 | 19 | |
| Regularly | 59 | 57 | 49 | 57 | 48 | 57 | |
| χ2 | p = 0.583 | p = 0.026 | p = 0.512 | ||||
| Primary Care | No | 60 | 62 | 86 | 62 | 55 | 62 |
| Yes | 37 | 39 | 21 | 39 | 25 | 39 | |
| χ2 | p = 1 | p = 0.004 | p = 0.383 | ||||
Supplementary information on exposure variables:(1) Age, variable age recoded to greater than and less than 67 years (mean sample age);(2) PKDM, prior knowledge of diabetes mellitus;(3) CVD, cardiovascular disease;(4) SAH, systemic arterial hypertension;(5) LLA severity, severity of lower limb amputations caused by DM;(6) Daily use of Gl., Daily use of glucometer;(7) Freq.-Primary Care, primary care attendance frequency;(8) Primary Care, specific guidance on amputation in primary care DM.
AMP severity, severity of amputations caused by diabetes mellitus:(1) Outcome = 0 (Toe);(2) Outcome = 1 (Transmetatarsal and Infrapatellar);(3) Outcome = 2 (Suprapatellar);(4) Outcome = 3 (Disarticulation and Bilateral).
Results of chi-squared (χ2) tests with probability <0.2 were used as criteria for selection of exposure variables for the step of single and multiple regression models with P (outcome) ~ Poisson.