PREDICTIVE FACTORS AND LEVELS OF AMPUTATION IN PATIENTS WITH DIABETIC FOOT ULCER
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Keywords
Diabetic Foot Ulcer (DFU), Predictive Factors, Level of Amputation
Abstract
Background: Diabetes mellitus complicated by diabetic foot ulcer leading to amputation carries socio-financial implications. The spectrum of the issue extends globally. Knowledge of burden of factors leading to amputations at various level is vital in understanding the gravity of the problem. Objective: To determine the frequency of predictive factors and levels of amputation in patients with diabetic foot ulcer. Materials and methods: This cross sectional study was carried out at department of surgery, Khyber Teaching Hospital, during the period 13th June 2022 till 12th December 2022. A total of 180 male and female patients in the age range 30 to 60 years undergoing amputation for diabetic foot ulcer were enrolled. Predictive factors and level of amputation were noted. Data was analyzed using SPSS version 25. RESULTS: Mean age of the patients was 46.68 ± 10.239 years. The number of female participants was 101 (56.1%). Most common predictive factor observed was peripheral arterial disease in 75 (41.7%) patients while below knee amputation was most common procedure performed in 85 (47.2%) patients. CONCLUSION: Female patients with grade 3 and above Wagner diabetic foot with peripheral arterial disease were more likely having lower limb amputation. Amputation below knee was most common.
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Dr. Spogmay Naeem
Surgical B unit Khyber Teaching Hospital Peshawar
Dr Irum Sabir Ali
Surgical B unit Khyber Teaching Hospital Peshawar
Dr. Fatima
Surgical B unit Khyber Teaching Hospital Peshawar
Dr. Nazish
Surgical B unit Khyber Teaching Hospital Peshawar
Dr. Rabia Ali
Surgical B unit Khyber Teaching Hospital Peshawar