Epidemiological and Clinical Features of Diabetic Foot in Cotonou

Hodé, Annelie Kérékou; Djrolo, F.; Amoussou-Guénou, Daniel

doi:10.4236/jdm.2015.53021

Cited by 6 publications

(3 citation statements)

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“…There is therefore a high rate of amputation, most often major, reported in African studies. Indeed, the amputation rate in our study was 38.16% and Kérékou A. et al [12] had found in the same service in 2015 a similar amputation rate of 32%. Moreover, Djibril et al [9] recently reported an amputation rate of 51.61% in their work in Togo.…”

Section: Discussionsupporting

confidence: 80%

Therapeutic Itinerary and Causes of Delay in Specialized Consultation of Patients Admitted for Diabetic Foot

Gninkoun¹,

Attikleme²,

Prudencio³

et al. 2018

JDM

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Introduction: Amputation remains a common practice in patients admitted for diabetic foot. The delay in consultation is one of the main reasons. The objective of this work was to analyze patients' itinerary care and to identify the causes of delay in consultation in patients admitted for diabetic foot. Method: This is a descriptive cross-sectional study, including all patients hospitalized for diabetic foot. A wait of at least seven (7) days before consulting the Endocrinology department of Hubert Koutoukou Maga Teaching Hospital (CNHU-HKM) after the foot injury occurred was considered as delay in consultation. The data were recorded and analyzed in the EPI INFO software. The description of the sample was made according to the usual statistics (frequency, average, standard deviation). Results: Seventy-six (76) diabetic foot cases were admitted during the period of the study. The mean age of the patients was 56.64 ± 10.71 years with extremes of 29 years and 84 years. Patients were most often received at an advanced stage of the foot injury, 3D stage of Texas classification in 87% of cases and Wagner grades 4 and 5 in 52% of cases. The amputation rate was 38.16%. An analysis of the first care places reveals that 90.8% of patients had consulted conventional medicine, 13.2% in traditional medicine; 1.2% had religious practices and 18.7% had declared self-medication at home. Consultation period at CNHU HKM was more than 7 days in 80% of cases and less than 7 days in 20% of cases. The average consultation time was 44.08 ± 26.43 days with extremes of 1 and 480 days. The main reasons for the delay in seeking hospital care cited by diabetic patients were fear of amputation (47.8% of cases), economic difficulties (32.5% of cases) and awareness lack of the situation seriousness (22.4%). Conclusion: The therapeutic itinerary of patients with diabetic foot was par-How to cite this paper: Gninkoun, C.Journal of Diabetes Mellitus ticularly long. The main reasons of late appeal to specialized care were fear of amputation and economic difficulties. The implementation of universal health insurance and an information, education and communication program could certainly reduce the periods allowed for recourse to care and therefore to reduce the amputation rate.

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Section: Discussionsupporting

confidence: 80%

Therapeutic Itinerary and Causes of Delay in Specialized Consultation of Patients Admitted for Diabetic Foot

Gninkoun¹,

Attikleme²,

Prudencio³

et al. 2018

JDM

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“…The male predominance among the population studied is a phenomenon confirmed by several authors. Kerekou found a sex ratio of 1.5 [9]; it was 2.5 for Amoussou-Guenou [10] and 2.46 for Sani [11] The majority of our patients were out of school (45%). This result is close to those of Traoré.…”

Section: Socio-demographic Characteristicsmentioning

confidence: 76%

Prognostic Factors for Diabetic Foot at CNHU-HKM

Kerekou Hode,

Dedjan,

Gnaho

2024

JDM

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Introduction: Predictions on the prevalence of diabetes mellitus, according to the International Diabetes Federation, indicated 9.3% in 2019 and nearly 10.9% of the general population in 2045. In Benin, the increase in this prevalence, according to the World Health Organization (WHO), is constantly increasing. Diabetic foot is one of its most common complications. The aim of this work was to study the prognostic factors of diabetic foot in the Department of Endocrinology, Metabolism and Nutrition of the CNHU-HKM of Cotonou. Patients and method: This is a descriptive and analytical retrospective study of the prognostic factors of diabetic foot over a period of 3 years from January 2019 to December 2021 in patients who have been hospitalized or followed on an outpatient basis for diabetic foot in the Endocrinology, Metabolism and Nutrition Department of the CNHU-HKM of Cotonou. Results: A total of 112 patients were included in this study. The average age of the patients was 59.70 ± 2.10 years. A male predominance was noted with a sex ratio (M/F) of 1.7. Mixed gangrene and phlegmons were the most common lesions. According to the classification of diabetic feet according to the University of Texas, 59.1% of patients had a 100% risk of amputation. Ten patients died from sepsis (8.9%). The average blood glucose on admission was 2.74 ± 0.23 g/l, reflecting the glycemic imbalance in these patients. There is a statistically significant association between the duration of progression of diabetes, the type of lesion and amputation. Patients whose diabetes has lasted more than 30 years and patients who are not monitored have a greater risk of death. Conclusion: Diabetic patients most often consulted at a late stage, compromising conservative treatment. The duration of diabetes and the type of lesion on admission were the main factors leading to amputation, thus compromising the functional prognosis. As for death, it was mainly linked to irregular monitoring of diabetes and the duration of diabetes. Effective prevention and management of diabetic feet requires

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“…5 Di Afrika sebesar 21,53% penderita DM menjalani perawatan di rumah sakit akibat masalah kaki diabetes, 95% diantaranya disebabkan masalah neuropati. 6 Penelitian di Indonesia pada tahun 2013, menunjukkan prevalensi pasien yang menjalani perawatan kaki diabetes adalah sebesar 25%. Walaupun tidak begitu banyak laporan riset terkait luka kaki diabetes di Indonesia.…”

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HUBUNGAN KADAR HbA1c DENGAN KADAR PROFIL LIPID PADA PASIEN KAKI DIABETES DI RSUP. PROF. DR. R. D. KANDOU MANADO

Primadana¹,

Pandelaki²,

Wongkar³

2016

eCl

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Diabetes Mellitus (DM) is a chronic disease due to insufficient insulin production or ineffective usage. Diabetic foot is the most common complication found in DM patients with the rate of cases is still high. DM can be controlled favorably by reaching the expected value of HbA1c and lipid profile. This study aimed to determine the correlation between HbA1c value and lipid profile in diabetic foot patients.This was an analytical descriptive study with a cross-sectional design using secondary data. Samples were 62 diabetic foot patients at Prof. Dr. R. D. Kandou Hospital Manado in the period of January 1 to September 30, 2015. The correlation between HbA1c value and lipid profile was tested by using the Pearson correlation test. The results showed the mean values as follows: HbA1c 8.5597%; total cholesterol 168.0484 mg/dL; HDL 37.3871 mg/dL; LDL 119.2419 mg/dL; and triglyceride 132.0645 mg/dL. The Pearson correlation test showed that the correlation between HbA1c and total cholesterol had an r=0.096 and a p=0.458; between HbA1c and HDL had an r=0.056 and a p=0.665; between HbA1c and LDL had an r=0.243 and a p=0.057; and between HbA1c and triglyceride had an r=0.014 and a p=0.913. Conclusion: There was a positive but not significant correlation between HbA1c and total cholesterol, HDL, LDL, and triglyceride levels. Keywords: HbA1c, lipid profile, diabetic foot Abstrak:Diabetes Melitus (DM) adalah penyakit kronik yang terjadi akibat terganggunya produksi insulin atau penggunaannya yang tidak efektif dan dapat berlanjut mengalami komplikasi. Kaki diabetes merupakan komplikasi tersering yang ditemukan pada penderita DM dengan angka kejadiannya masih tinggi sampai saat ini. Diabetes dapat terkendali dengan baik bila kadar lipid dan HbA1c mencapai target terapi yang diharapkan. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar HbA1c dengan kadar profil lipid pada pasien kaki diabetes. Penelitian ini bersifat deskriptif analitik dengan pendekatan potong lintang menggunakan data sekunder. Jumlah sampel sebanyak 62 pasien yang berobat di RSUP Prof. Dr. R. D. Kandou Manado periode 01 Januari 2015 – 30 September 2015. Hubungan kadar HbA1c dengan kadar profil lipid diuji dengan menggunakan uji korelasi Pearson. Hasil penelitian ini menunjukkan nilai-nilai mean sebagai berikut: HbA1c 8,5597%; kolesterol total 168,0484 mg/dL; HDL 37,3871 mg/dL; LDL 119,2419 mg/dL; dan trigliserida 132,0645 mg/dL. Uji korelasi Pearson menunjukkan korelasi antara kadar HbA1c dengan kolesterol total r=0,096 dan p=0,458; dengan kadar HDL r=0,056 dan p=0,665; dengan kadar LDL r=0,243 dan p=0,057; dan dengan kadar Trigliserida r=0,014 dan p=0,913. Simpulan: Terdapat hubungan positif antara kadar HbA1c dengan kadar kolesterol total, HDL, LDL, dan trigliserida namun secara statistik tidak bermakna. Kata kunci: HbA1c,profil lipid, kaki diabetes

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Epidemiological and Clinical Features of Diabetic Foot in Cotonou

Cited by 6 publications

References 10 publications

Therapeutic Itinerary and Causes of Delay in Specialized Consultation of Patients Admitted for Diabetic Foot

Therapeutic Itinerary and Causes of Delay in Specialized Consultation of Patients Admitted for Diabetic Foot

Prognostic Factors for Diabetic Foot at CNHU-HKM

HUBUNGAN KADAR HbA1c DENGAN KADAR PROFIL LIPID PADA PASIEN KAKI DIABETES DI RSUP. PROF. DR. R. D. KANDOU MANADO

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