DIABETIC FOOT RISK ASSESSMENT AND FOOT CARE AMONG PATIENTS ATTENDING TERTIARY CARE HOSPITAL IN CENTRAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 72
Abstract
BACKGROUND India currently leads the world with largest number of diabetic subjects, earning the ignominy of being the “Diabetes capital of the world.” Diabetic foot ulcer is a rising health problem, being the most important cause of non-traumatic foot ischaemia. Ulceration, infection, gangrene and lower extremity amputation are complications often encountered in diabetics. Not all foot complications can be prevented, but it is possible to dramatically reduce their incidence through appropriate management and prevention programs. The aim of this study is to evaluate risk of development of diabetic foot among diabetics and to identify high risk features through Epidemiological variables, biochemical parameters and clinical findings of Ankle-Brachial Index, Monofilament testing and Durometer analysis. Settings and Design- Cross-sectional study with educational intervention on 350 Diabetics attending Outpatient Department of Medicine at a tertiary care hospital in Central India. MATERIALS AND METHODS Diabetic Foot Risk Assessment questionnaire will be filled out by patients. Clinical assessment of their feet using Monofilament, Ankle Brachial Index and Durometer analysis of footwear along with Epidemiological Profile and Biochemical Parameters shall be correlated with their risk profile. Statistical Analysis- Data analysis was done by calculating the p-value using the Chi-Square test using Microsoft Excel version 2016 (MS Office 365 Home). RESULTS Of 350 subjects 227 (64.86%) had moderate risk of developing diabetic foot, while 87 (24.86%) had high risk. Advanced age, rural lifestyle, low literacy, high body mass index, poor blood glucose control, longer duration of diabetes and addictions were significantly associated with a higher risk of developing diabetic foot. Ankle-Brachial Index, Monofilament Test and Durometer evaluation proved to be simple, cost-effective outpatient methods to evaluate risk profile. CONCLUSION Foot care assessment and inculcation of good foot care practices should be done at the outset of diagnosis of diabetes. Simple outpatient tests are sensitive enough to detect risk of developing diabetic foot. This approach may help reduce the incidence of diabetic foot.
Authors and Affiliations
Chaurasia A, Shaunak Valame
Keywords
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- EP ID EP265599
- DOI 10.14260/Jemds/2017/1119
- Views 75
- Downloads 0
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