Diabetic foot ulcers –factors and outcome

Background: Diabetes is a major contributing factor in up to 70% of lower limb amputations. Foot damages such as ulceration, infection, gangrene are one of the important cause of hospital admission in patients with diabetes mellitus. The burden of diabetic foot disease and ulceration is set to increase further due to the co-existence of contributory co morbidities
AIM:
1. To assess various prognostic factors involved in the development of foot ulcers in type 2 diabetic patients presenting in Rajah Muthiah Medical College Hospital,Chidambaram .
2. To understand the role of factors involved in the complications arising out of diabetic foot.
Material and Methods: In this case study 50 patients were studied. This study was conducted from October 2016 to September 2018. The study was approved by the Ethical Review Committee of Rajah Muthiah Medical College Hospital, Chidambaram.
Results: Findings were tabulated according to age and other clinical aspects.
Conclusion
1. Factors influencing the outcome and long duration of bedridden state in diabetic foot ulcer disease studied were age, male gender, duration of diabetes and tobacco smoking.
2. Amputation was done for patients having dyslipidaemia, hypertension and infection of the foot, poor glycaemic control, site and number of ulcers in foot.
3. Good prognosis can be achieved with diabetic foot lesions by optimizing glycaemic control, using combination antibiotic chemotherapy, vigorously correcting co morbid conditions.