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Clinical and behavioral factors associated with management outcome in hospitalized patients with diabetic foot ulcer
| Content Provider | Scilit |
|---|---|
| Author | Yekta, Zahra Pourali, Reza Ghasemi-Rad, Mohammad Ravanyar, Leila Nezhadrahim, Rahim |
| Copyright Year | 2011 |
| Description | Objectives: Diabetic foot ulcer (DFU) has been linked to high mortality and morbidity in diabetic patients. In spite of the increasing prevalence of diabetes and its complications, this issue has not been adequately studied in Iran. Materials and methods: In this cross-sectional study we attempt to describe the prevalence of diabetic foot amputation in patients admitted to our training hospitals in Urmia, Iran, and also to determine the associated demographic, behavioral, and clinical factors. Results: Of 94 patients with DFU, 34 (32%) had amputation. Those with amputation were significantly older and were also less educated than those without amputation, had longer duration of diabetes (hence were more likely to suffer from complications), and had high-risk wounds plus a poor glycemic control. On logistic regression analysis two variables were associated with amputation: Wagner classification ≥3 and $HbA_{1c}$. On a receiver operating characteristics curve, the $HbA_{1c}$ cutoff point of 9.7% significantly discriminated to predict increasing risk of amputation. Conclusion: Both glycemic control and promoting the knowledge of patients and health care professionals in order to diagnose DFU in the early stages and to prevent development of the high-grade wounds would be a significant step in reducing the burden of DFU and its effect on quality of life in Iran. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3224658/pdf https://www.dovepress.com/getfile.php?fileID=11183 |
| Ending Page | 375 |
| Page Count | 5 |
| Starting Page | 371 |
| ISSN | 11787007 |
| DOI | 10.2147/dmso.s25309 |
| Journal | Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy |
| Volume Number | 4 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2011-10-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Ethnic Studies Integrative and Complementary Medicine Diabetes Mellitus Foot Ulcer Amputation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Internal Medicine Pharmacology |
