Diabetic foot and peripheral arterial disease. Single centre experience

Area of Science:

• Vascular Medicine
• Diabetology
• Podiatry

Background:

• Diabetic foot complications pose a significant health burden.
• Understanding the etiology of diabetic foot is crucial for effective management.

Purpose of the Study:

• To investigate the prevalence of vasculopathic diabetic foot.
• To identify factors associated with vasculopathic diabetic foot in a Saudi tertiary center.

Main Methods:

• Retrospective chart review of adult diabetic foot patients (May 2015 - July 2019).
• Categorization into vascular and non-vascular induced diabetic foot groups.
• Analysis of clinical presentation and laboratory results.

Main Results:

• Out of 404 patients, 19.1% had vasculopathic diabetic foot.
• Vascular group showed higher incidence of coronary artery disease (32.5% vs 14.4%) and peripheral artery disease (PAD) in unaffected limb (22.1% vs 2.1%).
• Non-vascular causes accounted for 80.9% of diabetic foot cases.

Conclusions:

• Non-vascular causes are more prevalent in diabetic foot cases.
• Old age, coronary artery disease, and PAD in the unaffected limb are significantly associated with vasculopathic diabetic foot.