Pattern of Diabetic Foot Lesions in Saudi Arabia: Experience from King Khalid University Hospital, Riyadh

Sulimani, Riad A.; Famuyiwa, Olufunsho; Mekki, Mohammed O.

doi:10.5144/0256-4947.1991.47

Cited by 20 publications

(12 citation statements)

References 8 publications

(4 reference statements)

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“…We achieved a lower overall mean hospital stay (18 days) than that of the other study (6.8 weeks) [6]. This may be attributed to the lower frequency of major amputation (10%) and lower mortality rate (6.7%) documented in our study compared to 34.1% major amputation in the study conducted by Sulimani et al [6].…”

contrasting

confidence: 54%

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Management of Diabetic Foot Lesions with Limited Use of Antibiotics

Darwish

Reddy²,

Kamal³

et al. 1993

Ann Saudi Med

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contrasting

confidence: 54%

“…This may be attributed to the lower frequency of major amputation (10%) and lower mortality rate (6.7%) documented in our study compared to 34.1% major amputation in the study conducted by Sulimani et al [6].…”

contrasting

confidence: 44%

Management of Diabetic Foot Lesions with Limited Use of Antibiotics

Darwish

Reddy²,

Kamal³

et al. 1993

Ann Saudi Med

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“…Ours is one of the many studies in the Kingdom of Saudi Arabia that reports increased prevalence of problems associated with diabetic foot syndrome and searches for a predictor that would be helpful in predicting the prognosis at the end of the treatment. 6,7 In line with our main hypothesis that various baseline clinical parameters can be exploited as predictors of prognosis for diabetic foot ulcers healing, we have studied the feasibility and effectiveness of BMI and HbA1c in this regard. The main findings of the study are that both BMI, as an index of Multiple risk factors have been studied to discriminate between healing and nonhealing ulcers by standard therapeutic intervention.…”

Section: Discussionmentioning

confidence: 97%

Prediction of diabetic foot ulcer healing in type 2 diabetic subjects using routine clinical and laboratory parameters

Alrasheedi¹,

Basheir²,

Haider³

2016

RRED

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“…Renal insufficiency was the only complication that showed a negative association with poor control (Table 6). Diabetic foot lesions were observed in 105 (10.5%) of 1000 patients and they have been reported separately [19]. Fifty-one, 5.1% of the total, had amputation of a toe, foot or limb.…”

Section: Chronic Complicationsmentioning

confidence: 99%

Diabetes Mellitus in Saudi Arabia: The Clinical Pattern and Complications in 1,000 Patients

et al. 1992

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A retrospective and prospective study of 1,000 ambulatory and hospitalized diabetic patients was done in Riyadh, Saudi Arabia. Saudis comprised 777 (77.7%) and non-Saudis 223 (22.3%). Sex distribution was equal among Saudis, males 389 (50.1%) and females 388 (49.9%), but non-Saudi males were predominant at 153 (68.6%), nonSaudi females 70 (31.4%) reflecting the preponderant male expatriate labor force. A proportion of different types of diabetes was: IDDM115 (11.7%), non-obese non-insulin dependent diabetes mellitus (NIDDM) 405 (41.0%), obese NIDDM 412 (42.1%), and early onset non-insulin dependent diabetes (diagnosis under 30 years of age), 43 (4.4%). Regarding treatment, 388 (40.6%) received insulin followed by sulfonylurea, alone in 330 (33.5%), diet only in 117 (12.0%), combination sulfonylurea and biguanide in 113 (11.6%), biguanide alone in 13 (1.3%) and insulin plus tablets in 7 (0.8%). Of 472 and 426 patients, 29.7% and 30.0% had elevated total cholesterol or triglycerides respectively, while 77.2% of 373 patients had elevated glycosylated hemoglobin (HbAl). At least once in 998 patients, diabetic ketoacidosis occurred in 7.6%,hypoglycemia (BS ≤ 2.2 mmols/1) in 8.6% and severe hyperglycemia (blood sugar ≥ 27.7 mmols/1) in 16.5%. The frequency of chronic and infective complications was: cataract 42.7%, infection 37.9%, neuropathy 35.9%, retinopathy 31.5%, hypertension 25.6%, nephropathy 17.8%, ischemic heart disease 11.3%, foot lesions 10.5%, stroke 9.4%, renal insufficiency 6.9% and amputation 5.1%. The pattern of diabetes in Saudi Arabia is similar to that in other countries, but the occurrence of early onset NIDDM and the role of consanguinity need clarification. Tropical pancreatic diabetes is rare. The spectrum of complications is a combination of what is observed in developing as well as industrialized countries.

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Pattern of Diabetic Foot Lesions in Saudi Arabia: Experience from King Khalid University Hospital, Riyadh

Cited by 20 publications

References 8 publications

Management of Diabetic Foot Lesions with Limited Use of Antibiotics

Management of Diabetic Foot Lesions with Limited Use of Antibiotics

Prediction of diabetic foot ulcer healing in type 2 diabetic subjects using routine clinical and laboratory parameters

Diabetes Mellitus in Saudi Arabia: The Clinical Pattern and Complications in 1,000 Patients

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