CLINICAL PROFILE AND OUTCOME OF PATIENTS SUFFERING FROM DIABETIC FOOT ULCER.

Dr. Rajesh Kumar, Dr. Aman Kamra, Dr. Radha Krishan Kumar, Dr. Rishabh Sharma

Abstract


  • Background:- Diabetes is one of the most prevalent chronic diseases: in 2010, one study reported that 285 million adults worldwide had diabetes and this figure is projected to rise to 439 million by the year 2030. It is estimated that approximately 20% of hospital admissions among patients with DM are the result of DFU.  Indeed, DFU can lead to infection, gangrene, amputation, and even death if necessary care is not provided. This study was conducted in SGRRIM&HS, Dehradun with an aim to evaluate clinical profile and outcome of patients suffering from diabetic foot. Materials & Methods:- A prospective study was conducted for 1 year with follow-up of upto 6 months. All patients admitted with diabetic foot ulcer were included. Patients with traumatic pathology to bone and soft tissue, suffering from central nervous system diseases as paraplegia, hemiplegia & vascular diseases were excluded. Patients were evaluated by proper history, examination and necessary investigations as per proforma enclosed. Treatment was given as per standard treatment guidelines and the results of treatment were noted. The data collected, was evaluated to see the outcome of treatment. Results:- Majority of patients were male and of age group >40yrs. Most common blood parameter associated with higher chance of amputation was deranged lipid profile. Conclusion:- Patients of diabetic foot with raised HbA1c more than 8.5 & increased serum creatinine had a prolonged hospital stay.

Keywords


Diabetic foot ulcer, Diabetes, Amputation, Lipid prole, HbA1c, Serum Creatinine

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