Diabetes, Heart and Cardiovascular Diseases News Chronicle.  Diabetes, Cardiovascular and Heart Diseases
 Article 292
    Published on January 19, 2018

The study shows diabetic foot ulcer patient need a quick review as the condition worsens quickly

About 10 percent of the diabetic patients are at risk of foot ulcers. But the risk of the diabetic foot ulcer can be minimized with a good control over blood sugar or glucose levels, attending annual health check-ups along with proper foot care. The worst outcome with diabetic foot ulcers (DFU) complication is amputation. Amputation surgical procedures are costly as the procedure needs time, stay at the hospital, cost of the medical procedure, cost of the prosthesis (an artificial device which replaces amputated part), expenses after amputation procedure etc. So prevention of amputation is better for patients with diabetic foot ulcers.

Researchers from the United Kingdom have done an analytical study on the prognosis for infected diabetic foot ulcers. They conducted an analytical study with the participants of the Concordance in Diabetic Foot Ulcer Infection (CODIFI) study and data of another 49 dead participants. The study findings show

  • Fifteen percent of the patients are dying within a year.
  • Complete or part amputation in one in seven patients.
  • Less than half of the ulcers are healing in a year.
  • Ten percent of the patients are experiencing a recurrence of foot ulcers within 12 months after healing.
  • More than 25 percent of the patients took some kind of medical procedure for the healing of ulcers.
  • Poorer outcomes in patients with multiple foot ulcers, limb ischemia and suffering from ulcers for a longer period.

They also found a low quality of lifestyle among those patients who undergo amputations. A single amputation in a diabetic foot ulcer patient shows a poor blood circulation and indicates future higher risk of subsequent amputations in that patient.

Study authors recommend a quick review of a diabetic foot ulcer patient as the condition worsens quickly. If required, the patient should be referred as quickly as possible to a specialist. The healthcare professional or specialist should get more time in treating diabetic foot ulcer.

The poorer outcome from diabetic foot ulcer patients with multiple foot ulcers and limb ischemia.

The senior author of the study was E Andrea Nelson, PhD, RGN, head of the School of Healthcare, Faculty of Medicine and Health, University of Leeds. Co-author of the study was Dr. Michael Backhouse, PhD, a podiatrist and also a senior research fellow, the University of Leeds, the United Kingdom. The study findings were published November 20, 2017, in the Diabetic Medicine. Title of the article was "Prognosis of the infected diabetic foot ulcer: a 12-month prospective observational study." DOI : dx.doi.org/10.1111/dme.13537

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Podiatrist : A foot and ankle surgeon.



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