Chronic neuropathic ulcer is not the most common antecedent of lower limb infection or amputation among diabetics admitted to a regional hospital in Jamaica: results from a prospective cohort study.

Time to first presentation to a doctor after recognition of the antecedent event was less in patients with puncture wounds (4.7 days, CI: 2.9–6.6 days) than for other causes combined (7.6 days, CI: 6.2–9 days) and the difference, of borderline significance on univariate testing ( P = 0.056), became highly significant ( P = 0.015) when all three variables were included in logistic regression equations (Table 2 ), with one or more previous infection in the affected limb and infection in either limb being tested in separate equations.

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