Diabetes, hand and/or foot ulcers: A cross-sectional hospital-based study in Port Harcourt, Nigeria

Unachukwu, C N; Babatunde, Seye; Ihekwaba, Anele E.

doi:10.1016/j.diabres.2006.05.016

Cited by 36 publications

(38 citation statements)

References 10 publications

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“…Other researchers have also reported the presence of diabetic ulcers mostly in males and middle-aged subjects (22)(23)(24). The increase in foot ulcers among diabetic male patients is worrying for individual families, as males are often the sole earning member of the family (22).…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with poor outcome in diabetic foot ulcer patients

Saleem¹,

Hayat²,

Ahmed³

et al. 2017

Turk J Med Sci

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Background/aim: Diabetic foot ulcers and related complications are a major cause of morbidity and hospital admissions. Our aim was to evaluate the risk factors associated with poor outcome in diabetic foot ulcers. Materials and methods:A prospective study was conducted on patients with diabetic foot ulceration attending the Madinah Teaching Hospital from June 2014 to December 2015. Potential risk factors and laboratory test results at presentation were recorded and their association with outcome (healing vs. amputation) was analyzed using IBM SPSS Statistics for Windows, Version 22.0.Results: In total, 112 patients were studied during our study period. The majority of the patients were male (60.7%) and aged 50 years and older (62.5%). Regarding the outcome, 68% healed completely, 27.7% underwent amputation, and 4.5% died during this period. Patient age of 50 and older, long duration of diabetes (>10 years), rural origin, and heel ulcers were significantly associated with poor outcome (P < 0.05). Conclusion:Patients with diabetes should have a detailed annual foot examination; those having risk factors for poor outcome require more frequent foot care, patient education, and early referral to tertiary care centers.

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Section: Discussionmentioning

confidence: 99%

Risk factors associated with poor outcome in diabetic foot ulcer patients

Saleem¹,

Hayat²,

Ahmed³

et al. 2017

Turk J Med Sci

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“…A lifetime risk as high as 15 to 25 % has also been reported [11,12]. The prevalence of DFU among diabetic patients varies widely from about 14.8 % in Ethiopia to 21.2 % in Calabar, Nigeria [13][14][15][16]. In Lagos, Nigeria, Ogbera et al [17] found a high prevalence of 41.5 % for DFU.…”

Section: Introductionmentioning

confidence: 92%

Outcome of diabetic foot ulcer admissions at the medical wards of University of Nigeria Teaching Hospital Enugu, Nigeria

Young

Anyim

Onyenekwe

et al. 2015

Int J Diabetes Dev Ctries

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Diabetic foot ulcer (DFU) is associated with a high rate of morbidity, prolonged hospital stay, and serious complications including limb amputation. The objective of this study was to determine the outcome of DFU among medical inpatients in the University of Nigeria Teaching Hospital Enugu, Nigeria. Data from case records of diabetes-related admissions into the medical wards of the University of Nigeria Teaching Hospital Enugu (UNTH) between January 2009 and December 2012 were analyzed. Statistical analysis was done using SPSS v17. Out of 726 diabetes mellitus (DM)-related admissions (59.1 % males, 40.9 % females), DFU accounted for 119 (16.4 %), of which 65.5 % were males and 34.5 % were females. The mean duration of diabetes in DFU patients was 7.2±5.8 years, while the median (interquartile range) duration of the ulcer before the presentation was 24 (14-60) days. The mean age of patients with DFU was 55.2 ± 13.2 years, while the duration of hospital stay ranged from 2 to 98 days, median (interquartile range (IQR)) of 16 (9.8-30.3)days. Out of the 119 DFU admissions, 88 (73.9 %) were discharged, 15 (12.6 %) died, while 16 (13.5 %) discharged themselves against medical advice (DAMA). Of those who were discharged, about 75 % were discharged with nonhealed ulcers either for outpatient care or to surgical units. The most common Wagner grade of ulcer was grade 3 (41.5 %). Risk factors for ulceration were peripheral vascular disease in 47.1 % and peripheral neuropathy in 57.6 %.Mortality due to DFU accounted for 10.6 % of all diabetes mortality. Diabetic foot ulcer was a common reason for admission and characterized by late presentation and advanced ulcer stage. Diabetes foot ulcers admitted and managed in the medical wards were associated with poor outcome.

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“…Similarly, numerous hospital-based studies in Nigeria demonstrated that the prevalence of limb ulcerations was between 11.7% and 19.1% among individuals with diabetes in Nigeria [7,8]. The prevalence of DFUs among hospitalized patients with diabetes in Iran was 20% [9].…”

Section: Introductionmentioning

confidence: 99%

Surgical management of Diabetic foot ulcers: A Tanzanian university teaching hospital experience

et al. 2011

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BackgroundDiabetic foot ulcers (DFUs) pose a therapeutic challenge to surgeons, especially in developing countries where health care resources are limited and the vast majority of patients present to health facilities late with advanced foot ulcers. A prospective descriptive study was done at Bugando Medical Centre from February 2008 to January 2010 to describe our experience in the surgical management of DFUs in our local environment and compare with what is known in the literature.FindingsOf the total 4238 diabetic patients seen at BMC during the period under study, 136 (3.2%) patients had DFUs. Males outnumbered females by the ratio of 1.2:1. Their mean age was 54.32 years (ranged 21-72years). Thirty-eight (27.9%) patients were newly diagnosed diabetic patients. The majority of patients (95.5%) had type 2 diabetes mellitus. The mean duration of diabetes was 8.2 years while the duration of DFUs was 18.34 weeks. Fourteen (10.3%) patients had previous history of foot ulcers and six (4.4%) patients had previous amputations. The forefoot was commonly affected in 60.3% of cases. Neuropathic ulcers were the most common type of DFUs in 57.4% of cases. Wagner's stage 4 and 5 ulcers were the most prevalent at 29.4% and 23.5% respectively. The majority of patients (72.1%) were treated surgically. Lower limb amputation was the most common surgical procedure performed in 56.7% of cases. The complication rate was (33.5%) and surgical site infection was the most common complication (18.8%). Bacterial profile revealed polymicrobial pattern and Staphylococcus aureus was the most frequent microorganism isolated. All the microorganisms isolated showed high resistance to commonly used antibiotics except for Meropenem and imipenem, which were 100% sensitive each respectively. The mean hospital stay was 36.24 ± 12.62 days (ranged 18-128 days). Mortality rate was 13.2%.ConclusionDiabetic foot ulceration constitutes a major source of morbidity and mortality among patients with diabetes mellitus at Bugando Medical Centre and is the leading cause of non-traumatic lower limb amputation. A multidisciplinary team approach targeting at good glycaemic control, education on foot care and appropriate footware, control of infection and early surgical intervention is required in order to reduce the morbidity and mortality associated with DFUs. Due to polymicrobial infection and antibiotic resistance, surgical intervention must be concerned.

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Diabetes, hand and/or foot ulcers: A cross-sectional hospital-based study in Port Harcourt, Nigeria

Cited by 36 publications

References 10 publications

Risk factors associated with poor outcome in diabetic foot ulcer patients

Risk factors associated with poor outcome in diabetic foot ulcer patients

Outcome of diabetic foot ulcer admissions at the medical wards of University of Nigeria Teaching Hospital Enugu, Nigeria

Surgical management of Diabetic foot ulcers: A Tanzanian university teaching hospital experience

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