A Cohort Study on the Outcome of Diabetic Foot Ulcers

Sanjeeviraj, Sriram and Subburaj, Aswinkumar and Aluri, Smriti and Sekar, Brahmma Rishy Thakku and Jalan, Manik and Joseph, Aleena Gilton (2023) A Cohort Study on the Outcome of Diabetic Foot Ulcers. CUREUS JOURNAL OF MEDICAL SCIENCE, 15.0 (10).

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Abstract

Background: Diabetic foot ulcers (DFUs) represent a significant and challenging complication of diabetes mellitus, often leading to serious morbidity and a substantial burden on healthcare systems. The study was conducted with the objectives of evaluating the outcomes of DFUs. Materials and methods: A cohort study was conducted to evaluate the outcomes of DFUs from May 2019 to May 2020 at a tertiary care hospital located in Chennai. The study included patients aged 18 to 90 years who were diagnosed with DFUs. Individuals with diabetic foot lesions (skin lesions such as fissures, abscess, cellulites) other than ulcers or those without diabetes were excluded. The data was collected from a total of 100 diabetic patients using systematic random sampling technique. Results: The mean (SD) age of the study participants was 54.68 (6.72) years with males constituting 56% of the study population. Among 100 participants, 65% experienced healing while 35% did not. Logistic regression analysis showed that glycated haemoglobin (HbA1c) levels, age, and diabetes duration had significant effect on patient outcome. Logistic regression analysis showed that HbA1c levels, age, and diabetes duration had significant effect on patient outcome. Out of 12 patients with major amputation, seven (58.3%) survived, while out of 19 patients with minor amputations, 18 (94.7%) showed remarkably higher survival rate. Meanwhile, 100% survival rate was observed in patients with no amputation. Conclusion: The study's comprehensive assessment of risk factors and their associations with healing outcomes provides essential knowledge for clinical practice. The study findings collectively support the optimization of interventions and strategies to prevent and manage DFUs, ultimately improving patient care and enhancing their quality of life. The study highlights the significance of glycemic control and limb preservation in DFU management.

Item Type: Article
Uncontrolled Keywords: amputations., glycemic control, risk factors, healing rate, diabetic foot ulcer
Subjects: Medicine > Medicine, General & Internal
Divisions: Nursing > Vinayaka Mission's Annapoorna College of Nursing, Salem
Medicine > Vinayaka Mission's Medical College and Hospital, Karaikal
Nursing > Vinayaka Mission's College of Nursing, Karaikal
Nursing > Vinayaka Mission's College of Nursing, Puducherry
Pharmacy > Vinayaka Mission’s College of Pharmacy, Salem
Physiotherapy > Vinayaka Mission's College of Physiotherapy, Salem
Homoeopathy > Vinayaka Mission's Homoeopathic Medical College and Hospital, Salem
Medicine > Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Salem
Arts and Science > Vinayaka Mission's Kirupananda Variyar Arts and Science College, Salem, India
Engineering and Technology > Vinayaka Mission's Kirupananda Variyar Engineering College, Salem, India
Law > Vinayaka Mission's Law School, Chennai
Medicine > Vinayaka Mission's Medical College, Kottucherry
Medicine > Vinayaka Mission's Medical College, Puducherry
Physical Education > Vinayaka Mission's College of Physical Education, Salem
Interdisciplinary Studies > Vinayaka Mission's School of Health Systems, Chennai
Dentistry > Vinayaka Mission‘s Sankarachariyar Dental College, Salem
Liberal Arts > Vinayaka Mission's School of Economics and Public Policy, Chennai
Depositing User: Unnamed user with email techsupport@mosys.org
Last Modified: 06 Feb 2026 07:13
URI: https://ir.vmrfdu.edu.in/id/eprint/7096

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