Pied diabétique: aspects épidémiologique, diagnostique, thérapeutique et évolutif à la Clinique Médico-chirurgicale du CHU Sylvanus Olympio de Lomé

Djibril, Awalou Mohaman; Mossi, Edem Komi; Djagadou, Agbeko Kodjo; Balaka, Abago; Tchamdja, Toyi; Moukaila, Razak

doi:10.11604/pamj.2018.30.4.14765

Cited by 15 publications

(13 citation statements)

References 2 publications

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“…Patients were then seen at an advanced stage of lesions as found in our study: 87% in Texas 3D stage or 52% in Wagner grades 4 and 5 with a very high risk of amputation. TIENO [11] in Burkina Faso had also found in his study foot lesions classified mainly in grades 4 and 5 by Wagner and the same observation had recently been made by Djibril et al [9] in Togo in 2018. The main reason for the delay to hospital recourse by diabetic patients was fear of amputation (47.8% of cases).…”

Section: Discussionsupporting

confidence: 74%

“…In our study, patients had a particularly long itinerary before having recourse to the referral centre, with an average consultation period of 44 days in our study. This long period of consultation in specialized environment has been re-Journal of Diabetes Mellitus ported by Djibril et al [9] who had found an average of 33 days consultation with extremes from 6 to 120 days. The painless nature of the initial lesions and socio-economic factors (32.5% of the reasons found in our work) can be incriminated.…”

Section: Discussionmentioning

confidence: 88%

“…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. Second, the population's plausible perception of this high rate of amputation as a fatality will reinforce the fear that is often reported.…”

Section: Discussionmentioning

confidence: 94%

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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: 74%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 94%

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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 mean age was 42.66 years, other African studies: Sani, R. et al [6], Nghario, L. et al [7], Guèye, D.D. et al [8], Sano, D. et al [9], Djibril, A.M. et al [10] found respectively 53 years, 54 years, 57 years, 58.9 years, 60.74 years. The majority of our patients were not in school with 54.3%.…”

Section: Discussionmentioning

confidence: 84%

Diabetic Foot: Epidemiological and Clinical Aspects in the Department of Medicine and Endocrinology of the Hospital of Mali, Mali

Doumbia¹,

Bakary²,

Ouologuem³

et al. 2021

JDM

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“…Diabetes is the aetiology of micro and macrovascular complications that lead to foot lesions [ 6 ]. Diabetic foot is defined as any infection, ulceration, or destruction of the deep tissues of the foot associated with neuropathy and/or peripheral arterial disease of the lower limbs in diabetic patients [ 6 7 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Foot Lesions in Diabetic Patients at Saint-Louis Hospital (Senegal): A Case-Control Study Protocol

Ndong

Konta

Tendeng

et al. 2021

International Journal of Surgery Protocols

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Introduction: Diabetes prevalence has increased over the past years. In Senegal, this prevalence is 4% in the general population. However, the region of Saint-Louis (in the north of the country) has the highest rate with 10.4%. The main prognosis problem is the occurrence foot lesions that can lead to lower-limbs amputation. Diabetic foot is a real public health issue, due to its economic burden and its serious repercussions on patients, leading to poor quality of life. The objective of this case-control study is to identify factors associated with foot lesions in diabetic patients. Methods and analysis:It will be a case-control study from January to December 2021. The patients will be recruited from the departments of general surgery, internal medicine, and emergency. An univariate then multivariate analysis (logistic regression) will allow us to select the variables associated with foot lesions in our study population. The parameters included in the logistic regression will be those with a p < 0.20 in the univariate analysis. Finally, a binary logistic regression analysis (with the calculation of Odds Ratios (OR) with confidence intervals (CI)) according to the backward stepwise method will identify the factors independently associated to foot lesions in diabetic patients. Ethics and dissemination:This research protocol will be submitted to the Ethics Committee of our institution for approval. The knowledge of factors causing diabetic foot will help to communicate with policymakers to raise the awareness in our community. Finally, it will help to prevent lower limb amputations. Highlights• Diabetes is the leading cause of non-traumatic lower-limb amputation in the world.• The region of Saint-Louis (Senegal) has the highest prevalence of diabetes.• Controlling factors associated with foot lesions in diabetic patients can prevent from amputation.

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Pied diabétique: aspects épidémiologique, diagnostique, thérapeutique et évolutif à la Clinique Médico-chirurgicale du CHU Sylvanus Olympio de Lomé

Cited by 15 publications

References 2 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

Diabetic Foot: Epidemiological and Clinical Aspects in the Department of Medicine and Endocrinology of the Hospital of Mali, Mali

Factors Associated with Foot Lesions in Diabetic Patients at Saint-Louis Hospital (Senegal): A Case-Control Study Protocol

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