Study of Risk Factors and Outcome Management of Diabetic Foot Ulcer in Tertiary Care Hospital
- 1. Specialist Medical Officer (Surgery), Andhratharhi, Madhubani, Bihar
- 2. Associate Professor and Head of Department, Upgraded Department of Surgery, Darbhanga Medical College and Hospital, Laheriasarai, Bihar
Description
Background: Diabetes Mellitus, which affects the vascular, neurological, skeletal, immunological, and integumentary systems, is a prevalent health issue around the world. The purpose of this research is to identify the risk factors that negatively impact treatment outcomes and to assess and highlight the management outcomes for diabetic foot in the province of tertiary care hospitals. Methods: This study comprised fifty patients who had been diagnosed with diabetic foot ulcers, or DFUs. The lesions were treated with triple antibiotic therapy, excision of dead tissue, avoidance of weight bearing, and appropriate diabetes management. Results: Gender-wise, the percentage of DF for men and women were 34 (68%) and 16 (32%) respectively. Additionally, the data revealed that type I and type II DM are displayed by 22 (44%) and 28 (56%) of the participants, respectively. Ten of the 50 patients (46%) who had inadequate control also had to have their limbs amputated. The patient’s grade percentages for Grade 0, Grade I, Grade II, Grade III, Grade IV, and Grade V were, in accordance with the Wagner Grading System, 2%, 30%, 20%, 22%, 14%, and 12%, respectively. The patients who did not respond were all receiving treatment at home, exhibiting low cooperation, negligence, refusal to follow up as an outpatient, and being at risk of amputation. The following common factors showed significant detrimental impacts on conservative treatment: smoking, neuropathy, leukocytosis, anemia, impalpable dorsalis pedis pulse/s, poorly controlled or uncontrolled diabetes mellitus, traditional home treatment, and patient neglect. Conversely, characteristics that showed reduced or non-significant negative impacts on conservative treatment were hyperglycemia, hypertension, and the site of management (surgical, orthopedic, out-patient, or emergency departments). Conclusion: According to this study, the most common diabetic foot lesion was type II diabetes. The majority of patients came with Wagner’s grade I, and the majority of patients had poorly controlled diabetes mellitus that resulted in amputation, according to the study.
Abstract (English)
Background: Diabetes Mellitus, which affects the vascular, neurological, skeletal, immunological, and integumentary systems, is a prevalent health issue around the world. The purpose of this research is to identify the risk factors that negatively impact treatment outcomes and to assess and highlight the management outcomes for diabetic foot in the province of tertiary care hospitals. Methods: This study comprised fifty patients who had been diagnosed with diabetic foot ulcers, or DFUs. The lesions were treated with triple antibiotic therapy, excision of dead tissue, avoidance of weight bearing, and appropriate diabetes management. Results: Gender-wise, the percentage of DF for men and women were 34 (68%) and 16 (32%) respectively. Additionally, the data revealed that type I and type II DM are displayed by 22 (44%) and 28 (56%) of the participants, respectively. Ten of the 50 patients (46%) who had inadequate control also had to have their limbs amputated. The patient’s grade percentages for Grade 0, Grade I, Grade II, Grade III, Grade IV, and Grade V were, in accordance with the Wagner Grading System, 2%, 30%, 20%, 22%, 14%, and 12%, respectively. The patients who did not respond were all receiving treatment at home, exhibiting low cooperation, negligence, refusal to follow up as an outpatient, and being at risk of amputation. The following common factors showed significant detrimental impacts on conservative treatment: smoking, neuropathy, leukocytosis, anemia, impalpable dorsalis pedis pulse/s, poorly controlled or uncontrolled diabetes mellitus, traditional home treatment, and patient neglect. Conversely, characteristics that showed reduced or non-significant negative impacts on conservative treatment were hyperglycemia, hypertension, and the site of management (surgical, orthopedic, out-patient, or emergency departments). Conclusion: According to this study, the most common diabetic foot lesion was type II diabetes. The majority of patients came with Wagner’s grade I, and the majority of patients had poorly controlled diabetes mellitus that resulted in amputation, according to the study.
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IJPCR,Vol16,Issue4,Article160.pdf
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Additional details
Dates
- Accepted
-
2024-03-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue4,Article160.pdf
- Development Status
- Active
References
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