2019, Vol. 3 Issue 3, Part A
Diabetes Mellitus is a metabolic disorder of different etiologies, characterized by chronic hyperglycemia with alterations in metabolism resulting from defects in the secretion or action of insulin.
Objective: To assess the risk factors for Diabetic foot amputation.
Patients and method: A descriptive cross-sectional study was carried out in the Al-Kindy Teaching hospital, in the period between January 2016 and December2018. The study was constituted by all the elderly patients of 19 years old and more, we studied 120 patients with diabetic foot who collected the inclusion criteria and accepted to participate in the study.
Results: Male was more than female and represents 74 (61.7%) patients, while female were represents 46 (38.3%) patients. Amputation treatments were done for 64 diabetic foot patients 50 were male and 14 were female. And 56 patients were treated with non-amputation 24 were male and 32 were female. Highly significant associations were found regarding Age, HbA1c, Dyslipidemia, BMI, HT, and long duration of DM with the amputation treatment. The types of amputation were as follow, Ray's amputation 22(34.37%) patients, and trans-metatarsal amputation in 2 (3.125%) patients, below knee amputation in 16 (25%) patients and above knee in 24 (37.5%) patients.
Conclusion: Old age, uncontrolled HbA1c, dyslipidemia, BMI, HT and long duration of DM, is the main risk of Diabetic foot amputation.