Evaluation of risk factors for lower extremity amputation in diabetic foot ulcer: a hospital based observational study in Northern India

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dc.contributor.authorBal, Bhavkaran Singhen_US
dc.contributor.authorKhanna, Gaganen_US
dc.contributor.authorBhardwaj, Adityaen_US
dc.contributor.authorSingh, Kamalpreeten_US
dc.date.accessioned2020-11-18T09:57:52Z
dc.date.available2020-11-18T09:57:52Z
dc.date.issued2019-04
dc.description.abstractBackground: 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.en_US
dc.identifier.affiliationsDepartment of Orthopedics, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, Indiaen_US
dc.identifier.citationBal 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): 1190-1195en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/211164
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20191323en_US
dc.subjectAmputationen_US
dc.subjectDiabetesen_US
dc.subjectFoot hygieneen_US
dc.subjectInfectionen_US
dc.titleEvaluation of risk factors for lower extremity amputation in diabetic foot ulcer: a hospital based observational study in Northern Indiaen_US
dc.typeJournal Articleen_US
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