Risk factors for diabetic foot ulcer in Diabetic foot clinic, Amnatcharoen hospital

Abstract

Objective  :     To study risk factors of diabetic foot ulcer in diabetic foot clinic, Amnatcharoen Hospital

Design   :     Retrospective descriptive study

Setting   :     Diabetic foot clinic, Physical Medicine and Rehabilitation Department,  Amnatcharoen Hospital

Method and Materials :     General data and medical data of the diabetes patients whowere examined at diabetic foot clinic since November 2013 to May 2014 were collected from the screening DM foot forms. The relationship of risk factors and diabetic foot ulcer was calculated by SPSS 11.5 program.

Result  :  2,217 patients were enrolled. Mean age was 58.5 ± 11.5 years old. Mostly were the farmers 66.3 percents. 45 peoples (2 percents) had the history

of lower extremities amputation. Mean FBS was 166.8 ± 71.9. Mean HbA1C was 9.8 ± 2.5. The statistically significant risk factors that related  to diabetes foot ulcer (p<0.001) were history of previous foot ulcer, history of lower  extremities amputation, history of not getting the diabetic shoe from the hospital, losing protective sensation, foot muscles weakness, abnormal pulse, abnormal foot, claw toes and arch of foot

Conclusion              :     The statistically significant risk factors related to diabetes foot ulcer in Amnatcharoen Hospital were past history of foot ulcer, past history of

lower extremities amputation, past history of not getting the diabetes shoe from the hospital, loss of protective sensation, intrinsic foot muscles weakness, abnormal  pulse, foot deformity, claw toes and abnormal arch

                                           of foot.