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
Related Articles
- EP ID EP265599
- DOI 10.14260/Jemds/2017/1119
- Views 100
- Downloads 0
FISTULOTOMY VERSUS FISTULECTOMY FOR TREATMENT OF FISTULA-IN-ANO
Fistula-in-ano is notorious for its frequent exacerbations, recurrences and its chronic condition. The anorectal abscess is an acute inflammatory process that often is the initial manifestation of the underlying...
EFFICACY OF HANDMADE ANTIBIOTIC PMMA BEADS IN TREATMENT OF CHRONIC OSTEOMYELITIS
BACKGROUND The term osteomyelitis literally implies inflammation of bone and its bone marrow. The infection involves the marrow space, the Haversian system, and the subperiosteal space. The bone is involved secondarily.(...
STROMAL CHANGES IN INVASIVE CARCINOMA OF BREAST
BACKGROUND Breast cancer is the most common malignancy in women worldwide. The current diagnostic and management practices in breast cancer takes into consideration the neoplastic cells only and the tumour stroma is not...
AN ANALYSIS OF LATERALITY IN ACUTE ARTERIAL STROKE AND ITS ASSOCIATIONS
BACKGROUND Stroke is defined as a sudden loss of brain function caused by a decreased cerebral blood flow. The objective of this study was to find out the association between laterality of stroke and age group, gender, t...
STUDY OF COMPLICATIONS IN SURGICAL MANAGEMENT OF METACARPAL AND PHALANGEAL FRACTURES
BACKGROUND AND OBJECTIVES Hand fractures if not treated properly will result in deformity, stiffness and loss of function leading to functional deformity. Fracture healing in hand is not an isolated goal, rathe...