AN OBSERVATIONAL STUDY ON SURGICAL CHARACTERISTICS, MANAGEMENT MODALITIES AND SHORT-TERM TREATMENT OUTCOMES OF DIABETIC FOOT ULCERS AT A TERTIARY HOSPITAL

International journal of scientific research Pub Date : 2024-05-01 DOI:10.36106/ijsr/7605172

Arunava Jana, Diptangshu Das, Manojit Barman, Lita Bag

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Abstract

Background: Diabetic foot ulcers (DFUs) are serious consequence of poorly controlled diabetes. DFUs are a therapeutic challenge in developing countries. This observational study aimed to analyse surgical characteristics, management modalities and short-term treatment outcomes of DFUs. Methods: This study was conducted on 155 patients. Data covering detailed history, management modalities and short-term outcomes were collected through an interviewer-administered structured questionnaire. Results: Mean age of patients is 58.32 ± 14.24 years, comprising 57.4% males. 54.8% patients belong in upper-lower class. 51.6% had diabetes for 5-10 years, 54.8% with very poor HbA1C > 10%. Ulcers involving the toes 34.8% and 82.6% ulcers were > 3 cm². Severe DFUs (Wagner grade 3-5) were seen in 75.4% of patients. Main intervention was surgical debridement. 37.4% suffered from SSI; revision amputation was done in 11.6% patients. Mean length of hospital stay 19 ± 12.1 days and mortality rate was 1.33%. Conclusion: Majority of patients had advanced DFUs. Larger prospective study should be done for proper management. Screening and proper evaluation can reduce complications.

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关于一家三级医院糖尿病足溃疡手术特点、管理模式和短期治疗效果的观察性研究

背景：糖尿病足溃疡（DFU）是糖尿病控制不佳的严重后果。在发展中国家，糖尿病足溃疡是一项治疗难题。这项观察性研究旨在分析糖尿病足溃疡的手术特点、管理模式和短期治疗效果：本研究对 155 名患者进行了调查。方法：本研究对 155 名患者进行了调查，通过访问者管理的结构化问卷收集了包括详细病史、管理模式和短期疗效在内的数据。研究结果患者平均年龄为（58.32 ± 14.24）岁，其中男性占 57.4%。54.8%的患者属于上下层阶级。51.6%的患者已患糖尿病 5-10 年，54.8%的患者 HbA1C > 10%。34.8%的溃疡涉及脚趾，82.6%的溃疡面积大于 3 平方厘米。75.4%的患者出现严重的 DFU（瓦格纳 3-5 级）。主要干预措施是手术清创。37.4%的患者出现了 SSI；11.6%的患者接受了翻修截肢手术。平均住院时间为 19 ± 12.1 天，死亡率为 1.33%。结论大多数患者为晚期DFU。应进行更大规模的前瞻性研究，以采取适当的管理措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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International journal of scientific research

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