Evaluating risk factors and surgical outcomes in diabetic foot patients at a tertiary care hospital

Shyamal Kumar Roy; Dipu; Rumana Parveen; Tauhidul Islam; Asif Aman; M. Meher Ullah; Satya Ranjan Mondal; A. K. M. Mustakim Billah; M. Khalid Bin Rahman Apourba

doi:10.18203/2394-6040.ijcmph20253229

Authors

Shyamal Kumar Roy Department of Lab, Institute of Public Health and Nutrition (IPHN), Dhaka, Bangladesh
Dipu Department of Surgery, Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh
Rumana Parveen Casualty Block of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
Tauhidul Islam Department of Surgery, IBN SINA Hospital, Dhanmondi, Dhaka, Bangladesh
Asif Aman Department of Surgery, Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh
M. Meher Ullah Department of Surgery, Shatkhira Medical College Hospital, Shathkhira, Bangladesh
Satya Ranjan Mondal Department of Surgery, Bangladesh Medical College, Dhaka, Bangladesh
A. K. M. Mustakim Billah Department of Surgery, Bangladesh Medical College, Dhaka, Bangladesh
M. Khalid Bin Rahman Apourba Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20253229

Keywords:

Diabetic foot, Risk factors, Surgical outcomes

Abstract

Background: Diabetic foot disease is a serious and common complication of diabetes, often leading to chronic ulcers, infections and lower limb amputations. This study aims to assess the clinical outcomes of surgical interventions and identify key risk factors influencing prognosis in diabetic foot patients treated at a tertiary care hospital. The aim of the study was to evaluate the clinical outcomes of surgical interventions and identify key risk factors influencing prognosis in diabetic foot patients treated at a tertiary care hospital.

Methods: This prospective observational study at the Department of Surgery and SOPD, Dhaka Medical College Hospital (January-December 2018), included 73 diabetic foot patients aged 20–80 years, excluding those with renal failure, chronic liver disease or malignancy. After ethical approval and consent, data on clinical features, treatments and outcomes were collected alongside relevant investigations. Patients were followed every two months post-discharge. Data were analyzed using SPSS v22 with significance at p<0.05.

Results: Of 73 diabetic foot patients (mean age 51 years), most were male (61.6%) with diabetes duration of 1–5 years. Ulcer was the main complaint (71.2%). Uncontrolled diabetes (65.8%) and elevated HbA1c (58.9%) were common. Key risk factors included neuropathy (64.4%) and hyperlipidaemia (63.0%). Surgical treatment was significantly associated with poor glycemic control (p<0.001), with highest recovery seen after debridement and reconstruction (89.3%).

Conclusions: Uncontrolled diabetes and associated risk factors significantly influence the need for surgical intervention and affect outcomes in diabetic foot patients.

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References

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