Testing And Validating Amit Jain’s Classification And Scoring System For Diabetic Foot Complications
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 1
Abstract
AIM - The study aims at testing and validating Amit Jain’s classification and Amit Jain’s scoring system for diabetic foot complication. Methods And Materials - A prospective descriptive analysis was done in Department of Surgery of Rajarajeswari medical college, Bangalore, India.The study period was for one year from January 2017 to December 2017. results - A total of 61 patients were included in this study. Majority of the patients were males [73.8%] in this study. Majority of the patients belonged to Type 1 diabetic foot complications [67.2%] followed by type 3 diabetic foot complication [29.5%] and it was statistically significant (P<0.001).Wet gangrene was most common pathological lesion seen in 24.6% followed by abscess which was seen in 23%.Majority of diabetic foot patients [68.9%] had a score between 6-10 and were in low risk category of major amputation. There were two mortality in this study and it was associated with high scores {22.00+/-11.31, P<0.001} and it was statistically significant. Conclusion - In this validation study, it is clearly seen that type 1 diabetic foot complications accounts for significant number of cases admitted in hospitals with wet gangrene and abscess being the commonest lesions seen. Most of the major amputations were performed in type 1 diabetic foot complication.It was found that with increasing scores for diabetic foot, there was statistically significant increase in major amputation. Patients with mortality also had significant higher scores.
Authors and Affiliations
Dr. Gopal S.
Keywords
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