Factors influencing outcomes of diabetic foot management: retrospective study at Mwananyamala regional referral hospital
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Date
2024-10-21
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EAS Journal of Medicine and Surgery
Abstract
Background: Diabetic foot ulcers (DFUs) contribute to significant
morbidity and mortality worldwide, with the global prevalence of diabetes
expected to rise to 12.2% by 2045, an increasing number of people are at risk
for complications like DFUs, which affect 19% to 34% of diabetic patients.
People with DFUs carry a 20% lifetime risk of limb amputation and mortality
rate of 50% to 70%. In Tanzania DFUs account for 41.9% of major limb
amputations and mortality rate of 54%.
Methods: A retrospective observational study aimed to investigate the clinical factors, and treatment modalities that
influence the management outcomes of diabetic foot among patients attending
Mwananyamala Regional Referral Hospital (MRRH). The study reviewed
existing patient records. Results: A total of 143 participants were enrolled in
the study, of which 94 (65.73%) were female. The participants had a mean age
of 57 ± 13.9 years. And approximately half (50.35%) were married. Nearly, all
patients, 140 (97.90%), underwent surgical treatment, nearly half (41.96%) had
DFU Wagner Class 3 while most of participants (69.93%) had hypertension.
The mean hospital stay was 9.2 days. In binary logistic regression model output,
marital status, level of education, working diagnosis, surgical management,
patient progress and number of readmissions were identified as determinants of
the outcome (P-value < 0.05).
Conclusion: This study identified key factors influencing diabetic foot outcomes, including gender, marital status, comorbidities and ulcer grade. These findings underscore the importance of early
diagnosis, targeted interventions, and comprehensive management to improve
patient outcomes.
Keywords: Diabetic Foot Ulcer (DFU), Ulcer Management Outcomes, CoMorbidities in Diabetes, Limb Salvage, Ulcer Grade, Amputation Risk.
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Keywords
Diabetic Foot Ulcer (DFU, Ulcer Management Outcomes, CoMorbidities in Diabetes
Citation
Kiwale, I., Chambo, V.J., Mlinga, M., Rajabu, N., Kabalimu, T. and Kabanga, R., 2024. Factors Influencing Outcomes of Diabetic Foot Management: Retrospective Study at Mwananyamala Regional Referral Hospital. EAS Journal of Medicine and Surgery, 6(10), pp.324-336.