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Between 2001 and 2007–08, the rate of hospitalisations for lower-limb amputations fell.
The rate of hospitalisations for lower-limb amputation among people with diabetes varies significantly between population groups of interest.
If people do not manage their diabetes well they are at risk from conditions such as neuropathy (nerve damage) and microvascular disease (such as peripheral vascular disease) (AIHW 2008). These conditions can cause foot ulcers. In the most severe cases, these ulcers may lead to the amputation of the affected toes, foot and lower leg.
This indicator shows trends in the rate of hospitalisations for lower-limb amputation among people with diabetes in:
Notes1. Directly age-standardised to the 2001 ABS NHS diabetes population.2. Gestational diabetes was excluded from the analysis.
Sources: AIHW NHMD; AIHW analysis of ABS NHS 2001, 2004–05 and 2007–08 (reissue).
Notes1. Directly age-standardised to the 2001 ABS NHS diabetes population. 2. Data with missing age have been excluded.
The main data sources for this indicator are:
The data in this indicator are directly age-standardised and presented as the number of hospitalisations for non-traumatic lower-limb amputations per 1,000 persons with diabetes.
In each of these population groups:
the rates compare
A separation is an episode of care for an admitted patient, which can be a total hospital stay (from admission to discharge, transfer or death) or a portion of a hospital stay beginning or ending in a change of type of care (for example, from acute to rehabilitation). Separation also means the process by which an admitted patient completes an episode of care either by being discharged, dying, transferring to another hospital or changing type of care (AIHW 2011).
Hospitalisations refers to the number of hospital separations where a non-traumatic lower-limb amputation is performed. An individual could have more than one lower limb amputation during a hospital separation; however they are only recorded once in this indicator.
Lower-limb amputations Data were selected from the NHMD with the following codes (Table 1):
AIHW 2011. Australian hospital statistics 2009–10. Health services series no. 40. Cat. no. HSE 107. Canberra: AIHW.
AIHW 2008. Diabetes: Australian facts 2008. Diabetes series no. 8. Cat. no. CVD 40. Canberra: AIHW.
AIHW 2007. National indicators for monitoring diabetes: report of the Diabetes Indicators Review Subcommittee of the National Diabetes Data Working Group. Diabetes series no. 6. Cat. no. CVD 38. Canberra: AIHW.