IMPACT OF HEMOGLOBIN-ALBUMIN-LYMPHOCYTE-PLATELET (HALP) SCORE ON MORTALITY IN ABOVE-ANKLE AMPUTATION OF DIABETIC FOOT INFECTION

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dc.contributor.authorYagar, Hilal
dc.contributor.authorVural, Abdussamed
dc.contributor.authorDolanbay, Turgut
dc.date.accessioned2026-06-19T06:37:59Z
dc.date.available2026-06-19T06:37:59Z
dc.date.issued2025
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractPurpose: 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.
dc.identifier.doi10.30621/jbachs.1451540
dc.identifier.issn2458-8938
dc.identifier.issn2564-7288
dc.identifier.issue2
dc.identifier.orcid0000-0003-4506-916X
dc.identifier.orcid0000-0001-5544-0458
dc.identifier.urihttps://doi.org/10.30621/jbachs.1451540
dc.identifier.urihttps://hdl.handle.net/20.500.12899/5325
dc.identifier.volume9
dc.identifier.wosWOS:001510788800002
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherDokuz Eylul Univ Inst Health Sciences
dc.relation.ispartofJournal of Basic and Clinical Health Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260612
dc.subjectDiabetic Foot
dc.subjectRisk Factor Scores
dc.subjectPrognosis
dc.subjectAmputation
dc.subjectMortality
dc.titleIMPACT OF HEMOGLOBIN-ALBUMIN-LYMPHOCYTE-PLATELET (HALP) SCORE ON MORTALITY IN ABOVE-ANKLE AMPUTATION OF DIABETIC FOOT INFECTION
dc.typeArticle

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