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STUDY ON CHARACTERISTICS OF FOOT ULERS AND RATE OF LIMB AMPUTATION IN DIABETIC PATIENTS TREATED AT DONG THAP GENERAL HOSPITAL
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Abstract
Objectives: The study aimed to determine the characteristics of foot ulcers and the rate of limb amputation in diabetic patients at a lower-level hospital. Methods: A cross-sectional study was applied. Research included diabetes patients hospitalized for foot ulcers in Department of Endocrinology, Dong Thap General Hospital from May 2022 to August 2022, collected data to assess peripheral nerve complications, lower extremity vascular diseases, infectious complications and amputation rates during hospitalization. Results: The study included 92 patients with foot ulcers. The average age of research population was 57.9 ± 12.2 years old, females accounted for 64.0%, median time from ulcer detection to hospitalization was 10 (7-21) days. Peripheral neuropathy complication accounted for 72.6%, lower-extemity arterial disease (ABI<0.8) for 11.7% and ulcer infection for 97.8%, of which the majority were moderate level infection (70.7%). Median ulcer area was 2 (1-4) cm2. WIfI clinical stages were 8.1% in stage 1, 39.5% in stage 2, 27.9% in stage 3 and 24.5% in stage 4. The limb amputation rate was 29.3%, of which toe amputation took up the highest proportion (74.1%). The limb amputation increased according to WIfI clinical stage: 4.0% in stage 2, 40.0% in stage 3 and 56.0% in stage 4. Conclusions: Diabetic patients hospitalized for foot ulcer treatment at provincial hospitals had poor glycemic control, most patients had moderate infections with peripheral neuropathy complications, and few had lower-extremity arterial disease. The limb amputations was mainly at WIfI stages 3 and 4 due to tissue damage and ulcer infection.
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Keywords
foot ulcer infection, peripheral neuropathy complication, lower-extremity arterial disease, amputation, WIfI clinical stages.
References
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