FACTORS AND FREQUENCIES OF AMPUTATIONS IN DIABETIC FOOT PATIENTS JINNAH HOSPITAL
Rana Faseeh Ur Rehman, Muhammad Waleed Akram* and Rabail Riaz
ABSTRACT
Background: Diabetes complications include nerve damage and poor blood circulation. These problems make the
feet vulnerable to skin sores (ulcers) that can worsen quickly and are difficult to treat. The frequency of minor and
major amputation increases with the higher grades of diabetic foot. Poor glycemic control is a significant risk factor
for amputation in diabetic foot patients. Objective: Objective of this study was to access the various factors and
there frequencies which lead to amputations in diabetic foot patients. Methodology: Study Design selected was
Cross-sectional. Study was conducted at Diabetic Clinic, Medical, Surgical and Orthopedic Wards Allama Iqbal
Medical College, Jinnah Hospital, Lahore from April 2015 to June 2015. Inclusion criteria: It included diagnosed
cases of type 1 and type 2 diabetes that had developed foot ulcers and undergone amputations. Data Collection
and analysis: The patient agreed to participate were asked to sign informed consent. A self-designed performa
consisting of closed and open ended questions was provided to each patient. Performa contained demographic
related item such as age, gender, ethnicity, address, religion, and economical history of mother and father. Patients
were guided how to fill the performa and were assured that their response would be treated with utmost
confidentiality. Data was entered and analyzed in SPSS Version: 17.0. Results: Total of 70 patients were taken as
subjects for the study. Mean age of the subjects was 50.16 years with standard deviation of 6.28 years. 62.86%
were males and 37.14% were females. 34.29% were diagnosed of Type 1 and 65.71% as Type 2 DM. 77.14% had
DM for 1-15 years and 22.86% had DM for 16-35 years. Conclusions: This study has identified that most common
and significant predictors were gender, type of DM, duration and onset, PVDs and DFUs.
Keywords: Diabetes Mellitus, Amputation, lower extremity amputations.
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