Predictors of Foot Ulcers Among Diabetic Patients at a Tertiary Care Center, Egypt

Diabetic foot ulcers (DFUs) markedly contribute to morbidity and mortality of diabetic patients. Hence, this study was conducted to investigate the predictors of foot ulcers among Egyptian diabetic patients. A case-control study was conducted among 488 diabetic patients attending the inpatient depar...

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Bibliographic Details
Published in:Risk management and healthcare policy 2021-01, Vol.14, p.3817-3827
Main Authors: Galal, Yasmine Samir, Khairy, Walaa Ahmed, Taha, Ahmed Ali, Amin, Tarek Tawfik
Format: Article
Language:English
Subjects:
Alcohol use
Analysis
Care and treatment
Clinics
comorbidities
Comorbidity
Confidence intervals
Data collection
Diabetes
Diabetic foot
diabetic foot ulcers
Diabetics
Egypt
foot deformities
Foot diseases
Health aspects
Hypoglycemic agents
Insulin
Leg ulcers
Medical research
Medicine, Experimental
Mortality
Multivariate analysis
Original Research
Outpatient care facilities
Patients
peripheral vascular disease
Questionnaires
Regression analysis
Risk reduction
Sociodemographics
Systematic review
Variables
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Summary:Diabetic foot ulcers (DFUs) markedly contribute to morbidity and mortality of diabetic patients. Hence, this study was conducted to investigate the predictors of foot ulcers among Egyptian diabetic patients. A case-control study was conducted among 488 diabetic patients attending the inpatient departments and outpatient clinics at the National Diabetes Institute in Egypt. A pretested data collection sheet was designed to collect and record the following: socio-demographic data, diabetic history and lifestyle characteristics, recorded comorbidities, and the results of foot examination. Significant positive predictors of DFUs on multivariate logistic regression analysis included presence of three or more comorbidities; two or more diabetic complications; callus; and flatfoot. Significant protective (negative) predictors were management of diabetes by diet, oral hypoglycemic drugs (OHGs), and insulin; and intact vibration sense. Significant positive predictors of DFUs on multivariate analysis were presence of three or more comorbidities, two or more diabetic complications, callus and flatfoot, while protective predictors were management of diabetes by diet, OHGs, and insulin; and intact vibration sense. Hence, close monitoring should be provided to diabetic patients with comorbidities and complications to reduce the risk of DFUs.
ISSN:1179-1594
1179-1594
DOI:10.2147/RMHP.S325065