Evaluation of risk factors for lower extremity amputation in diabetic foot ulcer: a hospital based observational study in Northern India
Loading...
Date
2019-04
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: The present prospective observational study was done to analyse the risk factors leading to minor or major lower extremity amputation (LEA) in diabetic patients.Methods: A 139 patients were divided into Group A (n=113) and Group B (n=26) who underwent minor and major LEA respectively.Results: Majority of the patients in group B were from rural and lower socioeconomic background. Duration of diabetes (p=0.017) and of DFU was significantly longer in group B (P <0.001) The pro-portion of patients with Wagner Grade 4 and 5 ulcer were significantly higher in group B than in group A (P <0.001) Wound infection and maggots were significantly higher in group B though polymicrobial infection was higher in group A. Biochemical investigations were abnormally altered but difference between two groups was not significant.Conclusions: Socioeconomic burden on the society due to LEA can be reduced by making diabetic patients aware of foot hygiene, regular medical check-up for control of diabetes and associated complications.
Description
Keywords
Amputation, Diabetes, Foot hygiene, Infection
Citation
Bal Bhavkaran Singh, Khanna Gagan, Bhardwaj Aditya, Singh Kamalpreet. Evaluation of risk factors for lower extremity amputation in diabetic foot ulcer: a hospital based observational study in Northern India. International Journal of Research in Medical Sciences. 2019 Apr; 7(4): 1190-1195