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Risk factors of diabetic foot in central Saudi Arabia

Mostafa A Abolfotouh1, Salem A Alfaifi, Abdulaziz S Al-Gannas

  • 1Biobanking Section, King Abdullah International Medical Research Center, King Saud Bin-Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia. mabolfotouh@gmail.com

Saudi Medical Journal
|July 13, 2011
PubMed

Insights

Diabetic foot risk factors include diabetes duration, neuropathy, and erythrocyte sedimentation rate (ESR). Early identification and management of these factors can prevent limb amputation.

Area of Science:

  • Endocrinology
  • Vascular Medicine
  • Diabetology

Background:

  • Diabetic foot (DF) is a significant complication of diabetes mellitus.
  • Identifying risk factors is crucial for preventing DF and its sequelae, such as amputation.

Purpose of the Study:

  • To determine the risk factors associated with diabetic foot in diabetic patients.
  • To identify independent predictors for early recognition and management of DF.

Main Methods:

  • A case-control study was conducted involving 50 patients with DF and 50 diabetic controls.
  • Medical records were reviewed to assess vascular, neuropathic, metabolic, healthcare, and lifestyle risk factors.
  • Multiple logistic regression and receiver operating characteristic (ROC) curves were employed for analysis.

Main Results:

  • Significant associations with DF included gender, age, education, diabetes type, disease duration, ESR, neuropathy, peripheral vascular disease, chronic renal disease, ischemic heart disease, hypertension, and prior DF history.
  • Independent predictors of DF, after adjusting for age and gender, were diabetes duration (≥11 years), neuropathy, and ESR level (≥54 mm/hr).

Conclusions:

  • The study identified key predictors for diabetic foot, including diabetes duration, neuropathy, and ESR.
  • These findings aid diabetologists in early DF recognition and management, potentially reducing amputation rates and associated costs.
Abstract

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