Diabetic-Foot Complications in African and Antarctica Continents

Abbas, Zulfiqarali G.

doi:10.1007/978-981-15-7639-3_2

Cited by 3 publications

(13 citation statements)

References 45 publications

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“…Diabetic foot complications are the main cause of non‐traumatic lower‐limb amputation with rates of about 40%–60%. About 85% of these amputations are preceded by ulceration 1,2,4,9‐11 . About 25% of those with diabetes will be affected by a foot ulcer during their life time 9,12 .…”

Section: Introductionmentioning

confidence: 99%

“…About 25% of those with diabetes will be affected by a foot ulcer during their life time 9,12 . With one lower limb amputation, people with diabetes have a 50% risk of getting a serious lesion in a second limb within two years and have 70% rate of death in five years following the initial amputation 1‐4,9‐11 . The mortality risk rate at ten years for people with DFU is twice as compared with those who have no DFU 13 …”

Section: Introductionmentioning

confidence: 99%

“…We previously estimated the expenses to both the patient and society of treating DFU in five countries with widely varying health care practices, reimbursement policies and gross domestic products 14,15 . Infection and gangrene are the most common precursors of amputation and the prevalence of amputation seen across Africa are therefore very high 1,7,16 …”

Section: Introductionmentioning

confidence: 99%

“…Diabetes is a leading cause of morbidity and mortality in both developed and developing world and impose a burden on the health sector [1][2][3][4] Diabetic foot ulcers (DFU) are associated with the highest morbidity and mortality. [1][2][3][4][5][6][7][8] Diabetic foot complications are the main cause of non-traumatic lower-limb amputation with rates of about 40%-60%. About 85% of these amputations are preceded by ulceration.…”

Section: Introductionmentioning

confidence: 99%

“…9,12 With one lower limb amputation, people with diabetes have a 50% risk of getting a serious lesion in a second limb within two years and have 70% rate of death in five years following the initial amputation. [1][2][3][4][9][10][11] The mortality risk rate at ten years for people with DFU is twice as compared with those who have no DFU. 13 Diabetes imposes a heavy burden on the health services in most African countries.…”

Section: Introductionmentioning

confidence: 99%

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Predicting the risk of amputation and death in patients with diabetic foot ulcer. A long‐term prospective cohort study of patients in Tanzania

Abbas

Chockalingam

Lutale

et al. 2022

Endocrino Diabet & Metabol

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Predicting the risk of amputation and death in patients with diabetic foot ulcer. A long‐term prospective cohort study of patients in Tanzania

Abbas

Chockalingam

Lutale

et al. 2022

Endocrino Diabet & Metabol

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Diabetic foot ulcer disease in African continent: ‘From clinical care to implementation’ – Review of diabetic foot in last 60 years – 1960 to 2020

Abbas¹,

Boulton²

2022

Diabetes Research and Clinical Practice

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The prevalence of diabetes mellitus is increasing globally and the greatest potential increases in diabetes will occur in Africa. Data suggest that these increases is associated with rapid demographic, sociocultural and economic transitions. There will be a parallel increase in the complications of diabetes and among the various complications those related to diabetic foot disease are associated with the highest morbidity and mortality.Diabetic Peripheral neuropathy (DPN) is the most common cause of diabetic foot complications in African countries; however, peripheral arterial disease (PAD) appears to increase, possibly a result of rising urbanization. Search done for the past six decades (1960 to 2020) on all foot complications.Rates of complications of diabetic foot in last six decades varied by country as follow: DPN: 4-90%; PAD: 0-77%; foot ulcers: 4-61%; amputation rates: 3-61% and high mortality rates reaching to 55%, patients who presented late with infection and gangrene.Educational and prevention programmes are required to curb the growing complications of diabetic foot ulcers in Africa among patients and health care workers. Secondly, it is imperative that governments across the African continent recognise the clinical and public health implications of diabetic foot disease in persons with diabetes.

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Prevalence of diabetes foot ulcers and associated factors among adult diabetic patients in three referral hospitals in Mogadishu, Somalia

Salad

Duale

Sheikh

et al. 2023

Front. Public Health

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BackgroundDiabetes mellitus (DM) causes significant morbidity and mortality in sub-Saharan Africa (SSA), including Somalia. Among diabetic patients, diabetic foot ulcers (DFUs) constitute the largest proportion of admissions, amputations, and mortality. The aim of this study is to assess the prevalence of diabetic foot ulcers and subsequently determine factors associated with it among diabetic patients at three major hospitals in Somalia.MethodsAn institutional-based cross-sectional study was conducted among 193 diabetic patients between August and November 2022. All eligible diabetes patients who were attending De Martini Hospital, Madina General Hospital, and Deynile General Hospital during the study period were included in the study. Patients were interviewed using a structured questionnaire. We collected demographic, clinical, and behavioral variables from all participants. A bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. An odds ratio with a 95% confidence interval was computed to determine the level of significance.ResultThe mean age of the study’s participants was 50.9 ± 13.6 years. The prevalence of diabetic foot ulcer was 15%. Patients who were either overweight or obese (OR 4.63, CI: 2.08–10.30), had a lack of family support in managing diabetes (OR 3.33, CI: 1.74–6.36), and did not check their feet regularly were more likely to develop DFU (OR 1.99, CI:1.08–3.66).ConclusionIncreased body mass index, lack of family support, and not checking feet regularly were associated with DFUs. The high prevalence of DFUs and the plethora of needs of people with DFUs pose challenges for health care. A coordinated health care system is necessary to meet the needs of diabetic patients and prevent DFUs.

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Diabetic-Foot Complications in African and Antarctica Continents

Cited by 3 publications

References 45 publications

Predicting the risk of amputation and death in patients with diabetic foot ulcer. A long‐term prospective cohort study of patients in Tanzania

Predicting the risk of amputation and death in patients with diabetic foot ulcer. A long‐term prospective cohort study of patients in Tanzania

Diabetic foot ulcer disease in African continent: ‘From clinical care to implementation’ – Review of diabetic foot in last 60 years – 1960 to 2020

Prevalence of diabetes foot ulcers and associated factors among adult diabetic patients in three referral hospitals in Mogadishu, Somalia

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