A Case Series of Diabetic Foot to Assess the Various Risk Factors Associated With Amputation
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 1
Abstract
Aim: Most cases of diabetic foot in our nation present to the hospital at a very late stage and at a stage where salvage of toes, or even the limb is not feasible.Many factors like low socioeconomic status, social stigma and pathophysiological factors like neurological deficit, vascular compromise may be the cause for this neglect in managing diabetic foot. Method:All cases of diabetic foot patient who present to the department of general surgery , who require major wound debridment and or toe, foot, below knee or above knee amputation are included in this study. Various factors leading to this neglected state is analyzed both as questionnaire and by investigating for neurovascular deficit, and other physiological factors .Questionnaire includes - Socialeconomic status – kuppusamy scale - Rural or urban population - awareness about diabetic complications including amputation/ raw area/ death. Pathophysiological conditions like - neurological deficit through nerve stimulation studies/ general examination of sesory motor functions of the lower limb - vascular compromise – venous and arterial doppler of both lower limbs - uncontrolled diabetes – diabetic status . Sample size 200 cases were studied over 6 months period and the above parameters were analysed Conclusion: Based on the data collected, we have observed that the incidence of elevated RBS at the time of admission and the number of patients with associated vascular compromise was statistically significant. Hence based on this study we can propose for a better control of diabetic and screening for vascular disease as a preventive step in treating diabetic foot without amputations
Authors and Affiliations
Dr. Gnana Sezhian
Keywords
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