STUDY OF ASSOCIATED RISK FACTORS LEADING TO COMPLICATION IN DIABETIC FOOT ULCER

Dr. S.N. GOLE; Dr. CHAKRADHAR BARIHA

Volume : V, Issue : V, May - 2016

STUDY OF ASSOCIATED RISK FACTORS LEADING TO COMPLICATION IN DIABETIC FOOT ULCER

Dr. S. N. Gole, Dr. Chakradhar Bariha

Abstract :

Introduction- A diabetic foot ulcer is a poorly healing ulcer, caused by a combination of diabetes induced foot neuropathy, and diabetes induced vascular disease. Diabetic foot-related problems occur frequently and may have serious consequences. Amputations at different anatomical levels are the most serious of them. Methods and study design- A cross sectional study was carried out in patients presenting with diabetic foot, attending the surgical OPD and casual ty of Dr. BRAM Hospital, Raipur (C.G.) and admitted consecutively to surgical wards were included. Study was done in these patients from, August 2014 to September 2015. Data were collected including particulars of the patient, detailed history and examination. Wound is graded according to Wagner‘s classification system. 96 Cases were selected according to mentioned inclusion and exclusion criteria and on the basis of the simple random sampling technique. Result- diabetic foot complications were multifactorial. most common risk factors leading to diabetic foot complications was diabetes induced Ischemia of small and large blood vessels, (21.87%), followed by Diabetic neuropathy (16.66%), Poor glycemic control (15.62), Structural Deformities (14.58%), Cigarette smoking(11.45%),Non- compliance(8.33%), Hypertension(5.20%). Conclusion- The finding of this study is quite promising & shows associated various risk factors leading to complication in diabetic foot ulcers. We also know that patients with diabetes who undergo amputations are subsequently more likely to die & suffer further amputation. It also provides a useful database for starting a preventive foot care program & separate wound clinic for reduction in diabetic foot related morbidity &, mortality