DIABETIC FOOT ULCER; RISK FACTORS STRATIFICATION IN PATIENTS. A STUDY OF 150 PATIENTS

Abstract

Patients and Material: One hundred and fifty diabetic patients with foot ulcer were studied. After taking informed consent, detailed history, clinical examination and relevant investigations were performed according to a devised proforma. All the proformas were analyzed in the end of study. Results: One hundred and fifty patients comprising 95 male and 55 female were studied. The average diabetic duration was 11 years. HbA1c was more than 8% in 98 (65.3%) patients. Peripheral neuropathy was present in 60 patients (40%), peripheral vascular disease in 80 patients (53.3%), neuro-ischemic ulcers in 45 patients (30%), hypertension in 70 patients (46.6%), Ischemic heart disease in 20%, Dyslipidemia in 50%, foot deformity in 42% and accidental/ foot wear trauma in 44%. Conclusion: Foot ulcer in diabetes results from multiple pathophysiologic mechanisms. Implementation of strategies for prevention, early detection, and appropriate treatment at the primary health care level are urgently needed. Article Citation: Jan AW, Khan H, Ahmad I, Khan M. Diabetic foot ulcer; risk factors stratification in patients. A study of 150 patients. Professional Med J 2016;23(6):693-698.