Clinical Profile and Outcome of Diabetic Foot in a Tertiary Care Centre

Abstract

Background

This study attempted to determine the disease burden in terms of clinical profile and outcome of diabetic foot admissions at a tertiary care hospital in a developing country.

Method

This study was done in Department of Surgery at Shri Guru Ram Rai Institute of Medical and Health Sciences and Shri Mahant Indiresh Hospital, Dehradun. Duration of the study was 1 year. The demographic characteristic, type of foot lesion, etiology, isolated micro-organism, treatment, and outcome were reviewed.

Results

A total of 49 patient were diagnosed with Diabetic Foot. All patients had type 2 diabetes with no gender predominance. Majority of the patient were above age of 40 years and diabetes control was very poor. Before admission, the ulcers had already developed for 4.7 ± 2.9 weeks; however, the majority of patients were unaware of the preceding causes. More than 70% of ulcers were in Wagner grade≥3 with infection event in nearly all patients. The most common isolates from culture were Gram-negative bacteria. A total of 8 patient required lower extremity amputations (LEAs) at various level of the foot were carried out, including major LEA.

Conclusions

Diabetic foot problems constitute a source of morbidity, a reason for LEA surgery as well as being a cause of death among patients with diabetes mellitus