Lower Extremity Amputations Hospitalizations Related to Diabetes

• According to the Centers for Disease Control and Prevention (CDC), diabetes is the leading cause of non-traumatic lower extremity amputations (NT-LEA). In Virginia, in 2005, the age-adjusted rate for NT-LEA was 1.44 per 10,000 population.

Diabetes-related NT-LEA Hospital Discharges, Virginia 2005

Total diabetes-related NT-LEA
discharges: 1,117
Total cost $42,991,125.00
Average cost per discharge: $38,488.03
Average length of stay: 10.84 days

Discharges by gender:

Gender	Percent with Diabetes-related NT-LEA, 2005	Percent in Virginia Population, 2005
Female	34.0%	51.3%
Male	66.0%	48.7%

Discharges by race/ethnicity:

Race/ethnicity	Percent with Diabetes-related NT-LEA, 2005	Percent in Virginia Population, 2005
White	57.7%	71.7%
Black	39.3%	19.1%
Hispanic	1.3%	6.0%
Other, Non-Hispanic	0.4%	3.2%
Unknown	1.3%	N/A

Discharges by age group:

Age Group	Percent of Total Discharges
Under 5	0.0
5-14 Years	0.0
15-24 Years	0.0
25-34 Years	1.5
35-44 Years	8.2
45-54 Years	23.0
55-64 Years	26.7
65-74 Years	21.2
75-84 Years	15.0
85+ Years	4.4

• Black males have the highest diabetes-related NT-LEA rates, followed by black females. Males, total, have higher rates (2.1/10,000) than females, total (.91/10,000).



Healthy People 2010 Objective:
(5-10) Reduce the hospitalization rate to 2.9 lower extremity amputations per 1,000 persons with diabetes per year (age-adjusted).

Source: Virginia Health Information, Inc. Hospital Discharge Dataset, 2005
Data note: ICD-9-CM diagnosis codes associated with diabetes (250.xx) and NT-LEA 84.10-84.19 (excluding traumatic codes 895-897) *2006 analyses are pending due to methodological changes.

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Diabetes Prevention and Control Project
109 Governor St, DCDPC 10th Floor, Richmond, VA 23219
Phone: (804) 864-7877 Fax Phone: (804) 864-7880

Email: Diabetes@vdh.virginia.gov

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