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    IMPACT OF HEMOGLOBIN-ALBUMIN-LYMPHOCYTE-PLATELET (HALP) SCORE ON MORTALITY IN ABOVE-ANKLE AMPUTATION OF DIABETIC FOOT INFECTION
    (Dokuz Eylul Univ Inst Health Sciences, 2025) Yagar, Hilal; Vural, Abdussamed; Dolanbay, Turgut
    Purpose: Diabetic foot ulcers are one of the important reasons for amputations. The hemoglobin-albumin-lymphocyte-platelet (HALP) score is a marker of the inflammatory and nutritional status of the individual. Aim of this study is to investigate the relationship between the HALP score and mortality in patients undergoing above-ankle amputation due to diabetic foot infection. Material and Methods: The demographic data (age, sex), deaths during hospitalization, laboratory values and mortality through 3-6-9-12 months were recorded. Chi square and t test were used for categorical comparison and logistic regression tests were used for mortality risk estimation. Results: The mortality rates in hospital and in the 3rd, 6th, 9th, and 12th months were 13.1%, 37.7%, 48.5%, 53.8%, and 56.2% respectively. HALP score below 21.55 was associated with a 2.975 times higher risk for 1-year mortality (odds ratio: 2.975; 95% CI: 1.252-7.069; p = 0.014). Female gender, HALP score below 21.55, and age over 65 predict 20.2% overall 1-year mortality risk (Nagelkerke R2 = 0.202). Conclusion: The HALP score is a novel risk factor for mortality in patients undergoing amputation for diabetic foot ulcers. Also; older age and female gender are independent risk factors for 1-year mortality.