CURRENT TRENDS OF DIABETIC FOOT SURGERY IN GENERAL HOSPITAL OF KSA: ARE WE DOING ENOUGH TO AVOID AMPUTATION?

- Department of General Surgery, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia.
- Abstract
- Keywords
- References
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- Corresponding Author
In Saudi Arabia Diabetes Mellitus (DM) is one of the growing health problems.As the population increasing with changes in pattern of lifestyle, morepeople in the region exposed to diabetes and its complications. This study aimed to evaluate a pattern of diabetic foot presentation, investigations, treatment and complications in the respective population of Al Kharj Governorate and the cosmopolitan area, which was seeking medical attention from medium sized general hospital facilities. Out of 81 patients included in this study, 49% had amputation of the lower extremity at different levels because of such complications. Patient’s characteristics and multiple parameters obtained for the data, both demographics and investigations, were analysed for statistical significance. This study highlighted necessity to develop specialised diabetic centres or units within hospitals in order to minimise morbidity and mortality from diabetic foot complications.
- Larsson J, Eneroth M, Apelqvist J, Stenstrom A. Sustained reduction in major amputations in diabetic patients: 628 amputations in 461 patients in a defined population over a 20-year period. Acta orthopaedica. 2008;79(5):665-73.
- Papazafiropoulou A, Tentolouris N, Soldatos RP, Liapis CD, Dounis E, Kostakis AG, et al. Mortality in diabetic and nondiabetic patients after amputations performed from 1996 to 2005 in a tertiary hospital population: a 3-year follow-up study. Journal of diabetes and its complications. 2009;23(1):7-11.
- Anichini R, Zecchini F, Cerretini I, Meucci G, Fusilli D, Alviggi L, et al. Improvement of diabetic foot care after the Implementation of the International Consensus on the Diabetic Foot (ICDF): results of a 5-year prospective study. Diabetes research and clinical practice. 2007;75(2):153-8.
- Alvarsson A, Sandgren B, Wendel C, Alvarsson M, Brismar K. A retrospective analysis of amputation rates in diabetic patients: can lower extremity amputations be further prevented? Cardiovascular diabetology. 2012;11:18.
- Al-Wahbi AM. Impact of a diabetic foot care education program on lower limb amputation rate. Vascular health and risk management. 2010;6:923-34.
- Tashkandi WA, SBS MMBM, Badawood SM, Ghandourah NA, Alzahrani HA. Lower Limb Amputations among Diabetics Admitted with Diabetic Foot Disorders in Three Major Hospitals in Jeddah, Saudi Arabia. Journal of King Abdulaziz University. 2011;18(1):23.
- Jbour AS, Jarrah NS, Radaideh AM, Shegem NS, Bader IM, Batieha AM, et al. Prevalence and predictors of diabetic foot syndrome in type 2 diabetes mellitus in Jordan. Saudi medical journal. 2003;24(7):761-4.
- Qari FA, Akbar D. Diabetic foot: presentation and treatment. Saudi medical journal. 2000;21(5):443-6.
- Al-Wahbi AM. The diabetic foot. In the Arab world. Saudi medical journal. 2006;27(2):147-53.
- Lee JS, Lu M, Lee VS, Russell D, Bahr C, Lee ET. Lower-extremity amputation. Incidence, risk factors, and mortality in the Oklahoma Indian Diabetes Study. Diabetes. 1993;42(6):876-82.
[Anthony Morgan, Salman Bin Dayel, Adel Mohammad Bin Sultan, Abdullah Mussad Al Harbi, Abdulrahman Rsheed Bin Swilim and Mohammed Sultan Al Gernass. (2016); CURRENT TRENDS OF DIABETIC FOOT SURGERY IN GENERAL HOSPITAL OF KSA: ARE WE DOING ENOUGH TO AVOID AMPUTATION? Int. J. of Adv. Res. 4 (Dec). 1831-1836] (ISSN 2320-5407). www.journalijar.com