Frequency and Severity of Three Diabetic Foot Ulcer Types Utilizing Ten Points Scoring Scale- A Study from a Tertiary Care Hospital of Islamabad
Keywords:Diabetes Mellitus, Diabetic Ulcer, Neuropathic Ulcer, Foot Ulcer, Ischemic Ulcer, Neuroischemic Ulcer
Objective: The present study aimed to assess the prevalence of various types of foot ulcers among diabetic patients and their association with age and gender.
Methods: This prospective cross-sectional study was conducted at the Medicine Department of Pakistan July to December 2019. A total of 133 diabetic patients presenting at the study site for foot ulcer treatment were recruited. The foot ulcers were classified as neuropathic, ischemic ulcer, or neuroischemic, and the severity/degree of the ulcer was determined using an internally developed ten points scoring system. The data were analyzed using SPSS version 22.0.
Results: There was a high prevalence of neuropathic ulcers (69.2%) among the enrolled diabetic patients, followed by ischemic ulcer (33.1%) and neuroischemic (24.8%). The mean neuropathic scores were significantly high among males (4.84 ± 2.09) than females (4.02 ± 1.78) (p=0.02). It was also higher in those aged 50 years or greater (4.76 ± 1.91) as compared to those with less than 50 years of age (3.79 ± 2.24) (p=0.036).
Conclusion: The most prevalent type of diabetic foot ulcer was the neuropathic type. Increased severity of these foot ulcers was observed with advancing age.
Annals of Abbasi Shaheed Hospital and Karachi Medical and Dental College acquires copyright ownership of the content. The articles are distributed under a Creative Commons (CC) Attribution-Non-Commercial 4.0 License (http://creativecommons.org/licenses/by-nc/4.0/). This license permit uses, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal.