A COMPARATIVE STUDY ON DIABETIC FOOT ULCERS LEADING TO AMPUTATIONS

  • Romisa Rehman Peshawar Medical College,Warsak road,Peshawar. Riphah International University, Islamabad. pakistan
  • Farhat Rehana Malik Peshawar Medical College, Warsak Road, Peshawar. Riphah International University, Islamabad. Pakistan.
  • Zarlish Rehman Khyber Medical College, Peshawar University.
Keywords: Diabetes mellitus, Foot ulceration, Amputation

Abstract

Objective: To determine and compare the frequency of foot ulcers leading to amputations in relation to gender, type and duration of diabetes. Methodology: A descriptive study conducted at three teaching hospitals of Peshawar, from November-2015 to February-2016. Data was collected using convenient sampling technique via semi structured questionnaire. Inclusion cri- teria were diabetic, non-smoker, having no visible deformity other than ulcer or amputation; while critically ill patients, children less than 13 years, gestation- al diabetics and who did not consent upon were excluded. One hundred and twelve diabetics (type 1 & type 2) were included in the study. The collected data were entered and analyzed in SPSS version 23. P values were computed and significance level was set at <0.05. Results: Mean age was 53.55 ±11.58 years. Twenty four males (60%) had foot ulcers and among them, 16 (40%) got their lower leg amputated, whereas 55.5% females had foot ulcers and 24 (33%) among them had amputations. Type 1 diabetics with foot ulcers were 44 (72%) while type 2 diabetics were 68 (47%). Diabetic foot ulcers were found to be highly significant with type of dia- betes (p value =0.007). Duration of illness more than 11 years was found to be a risk factor in 90% of amputations. Conclusion: Diabetic foot ulcers were reported more in males and were found to be highly significant with type of diabetes.  

Author Biographies

Romisa Rehman, Peshawar Medical College,Warsak road,Peshawar. Riphah International University, Islamabad. pakistan
Final Year MBBS student in PMC
Farhat Rehana Malik, Peshawar Medical College, Warsak Road, Peshawar. Riphah International University, Islamabad. Pakistan.
Associate Professor,  Community Health Sciences.MBBS(KMC), MPH(Peshawar Univ;)Peshawar Medical College, Peshawar. Pakistan
Zarlish Rehman, Khyber Medical College, Peshawar University.
4th Year MBBS student
Published
2018-03-23
Section
Original Article