Risk Factors and Surgical Outcomes of Diabetic Foot in Diabetic Patients at King Fahad University Hospital.

Autor:	Elghoneimy YA; Department of Cardiac Surgery, King Fahad University Hospital, Dammam, SAU., Alkabah AA; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Alalsayedsalih HM; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Almanyan AJ; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Alibrahim HA; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Albokamsin MH; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Alshammary SA; Department of General Surgery, King Fahad University Hospital, Dammam, SAU., Makhdom FA; Department of Cardiac Surgery, King Fahad University Hospital, Dammam, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Dec 12; Vol. 14 (12), pp. e32457. Date of Electronic Publication: 2022 Dec 12 (Print Publication: 2022).
DOI:	10.7759/cureus.32457
Abstrakt:	Background: Diabetes mellitus affects a large number of the population worldwide. One of the most important complications is diabetic foot ulcers, which are debilitating to the patient and the health care system. Objectives: To assess the risk factors leading to diabetic foot complications and the surgical outcome of management of patients affected by diabetic foot at King Fahd University Hospital. Methods: This is a retrospective case series study conducted at King Fahd University Hospital. The study included 52 patients who were admitted from the period 2007 to 2017 with cases of diabetic foot ulcers. The study includes a review of medical charts for diabetic foot patients including demographics, diabetic profile, associated comorbidities, clinical signs, laboratory investigations and surgical outcome. Results: Our study shows that diabetic foot patients had comorbidities like hypertension at 69.2% and hyperlipidemia at 55.8%. Regarding the association between comorbidities and surgical outcomes, we did not find any significance. Furthermore, we found that patients with gangrene were more likely to undergo amputation. Patients who underwent amputation had hemoglobin A1c (HbA1c) of 10.3 ± 2.4% and random blood sugar (RBS) of 259 ±107 mg/dl, indicating poor diabetic control. Conclusion: Diabetic foot is the result of poor blood sugar control. Surgical intervention plays an important role in the management of diabetic foot. Depending on the presentation, patients may undergo surgical debridement, revascularization, or amputation. We found that patients who developed gangrene were more likely to undergo amputation. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Elghoneimy et al.)
Databáze:	MEDLINE
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