The Outcome and cost of Hospital Management of Diabetic’s Foot in Khartoum Main Hospitals In Period from November 2018 to November 2019
الملخص
Background: Diabetic foot ulcer is a major complication of diabetes with a high mortality and morbidity and now the most common cause of diabetic related hospitalization and disabling problem leading to amputation of the leg. Objectives: This study aimed to study effective management and outcome of diabetic’s foot in Khartoum main hospitals. Patients and Methods: This was observational, prospective, cross sectional, hospital based study of 133 diabetic patients subjected to hospital management of diabetic foot in five main hospitals at Khartoum State in the period from November 2018 to November 2019.Results: Male to female ratio was 1.9: 1. The mean age of the patients was 53.6±14.0 years, with mean duration of diabetes 11.6±8.3 years. Surgical management performed for130 patients, 65 (50%) had major amputation, 46(35.4%) debridement and 19(14.6%) minor amputation, deaths rate were 18(13.5%) in our patients. There was significant association between complications of diabetes ketoacidosis and hypertension related to major amputation and death (P < 0.05).
Conclusion: In patient with diabetic foot ulcer in main Khartoum hospitals associated with high rate of major amputation, mortality, long hospital stay and high cost. Diabetic limb ischemia was major risk factor for major limb amputation. There significant association between diabetic ketoacidosis and hypertension related to major amputation and death.
المراجع
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12. Cavanagh P. Attinger C. Abbas Z. Bal A. Rojas N. Xu Z-R. Cost of treating diabetic foot ulcers in five different countries. Diabetes Metab Res Rev 2012; 28(Suppl 1): 107–111.
13. Adam M. A., Hamza A. A., Ibrahim A. E. Diabetic Septic Foot in Omdurman Teaching Hospital. Sudan JMS 2009; 4(2): 129-132.
14. Pemayun TGD, Naibaho RM. Diabetic Foot Ulcer Registry at a Tertiary Care Hospital in Semarang, Indonesia: an Overview of its Clinical Profile and Management Outcome. J Clin Diabetes Pract 2016; 1:111.
2. Sharma VS, Khadka PB, Joshi A Sharma R. Common pathogens isolated in diabetic foot infection in Bir Hospital. Kathmandu University Medical Journal. 2006; 4(3): 295-301.
3. Centers for Disease Control and Prevention. Chronic Kidney Disease (CKD) Surveillance Project website. https://nccd.cdc.gov.
4. Umpierrez, G. E. Scott D. Isaacs, Niloofar Bazargan, Xiangdong You, Leonard M. Thaler, And Abbas E. Kitabchi. Hyperglycemia: An Independent Marker of In-Hospital Mortality in Patients with Undiagnosed Diabetes. The Journal of Clinical Endocrinology and Metabolism 2002; 87(3):978–982
5. Katslambros E, Dounis P, Tsapogas. Atlas of the diabetic foot.2003 John Wiley & Sons Ltd.
6. El Bushra Ad. Diabetic Septic Foot Lesions in El Obeid, Western Sudan. Sudan Journal of Medical Sciences Vol. 2 (2) 2007: pp. 119-1.
7. Fawzy MS, Alshammari MA, Alruwaili AA, et al. Factors associated with diabetic foot among type 2 diabetes in Northern area of Saudi Arabia: a descriptive study. BMC Res Notes. 2019;12(1):51.
8. Pemayun TGD, Naibaho RM. Clinical profile and outcome of diabetic foot ulcer, a view from tertiary care hospital in Semarang, Indonesia. Diabet Foot Ankle. 2017;8(1):1312974.
9. Wahab WFA, Bakhiet MA, Mahadi SElDI, Mahmoud SM, Widataal AH, et al. Diabetic Foot Infections with Pseudomonas: Jabir Abueliz Diabetic Center Khartoum Experience. Clin Res Foot Ankle 2013; S3:001.
10. SaadEldein, M. S. M. Alshaikh, A. A. Ahmed, G. M. Pattern, management and outcome of diabetic foot in Wad Medani Teaching Hospital from January to December 2016. Sudan Med J 2018 December;54(3):216-225.
11. Muhammad FY, Pedro LM, Suleiman HH, et al. Cost of Illness of Diabetic Foot Ulcer in a Resource Limited Setting: A Study from Northwestern Nigeria. J Diabetes Metab Disord. 2018;17(2):93–99.
12. Cavanagh P. Attinger C. Abbas Z. Bal A. Rojas N. Xu Z-R. Cost of treating diabetic foot ulcers in five different countries. Diabetes Metab Res Rev 2012; 28(Suppl 1): 107–111.
13. Adam M. A., Hamza A. A., Ibrahim A. E. Diabetic Septic Foot in Omdurman Teaching Hospital. Sudan JMS 2009; 4(2): 129-132.
14. Pemayun TGD, Naibaho RM. Diabetic Foot Ulcer Registry at a Tertiary Care Hospital in Semarang, Indonesia: an Overview of its Clinical Profile and Management Outcome. J Clin Diabetes Pract 2016; 1:111.
منشور
2019-06-01
كيفية الاقتباس
MOURKAZ, Abdelaziz Elhadi Yousief; ELMAKKI, Ahmed Mohamed; MAHDI, Saief aldeen Ibrahim.
The Outcome and cost of Hospital Management of Diabetic’s Foot in Khartoum Main Hospitals In Period from November 2018 to November 2019.
مجلة الجزيرة للعلوم الصحية, [S.l.], v. 15, n. 1, june 2019.
ISSN 1810-5386. متوفر في: <http://37.60.236.48/index.php/gjhs/article/view/1349>. تأريخ الوصول: 03 june 2026.
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