A Survey of the Risk of Foot Ulcers in Diabetic Patients at Paholpolphayuhasena Hospital
Keywords:
Diabetic foot ulcers, Protective sensationAbstract
Objectives: To evaluate foot ulcer risks of diabetic patients of Paholpolpayuhasena Hospital.
Design: A Cross-sectional descriptive study
Setting: Paholpolpayuhasena hospital
Subjects: Diabetic Patients treated at foot health clinic between September-December 2009.
Method: Retrospective collection of geographic data, symptoms, foot examinations from out patient unit medical records.
Result: There were 127 diabetic patients recruited into the study, Most of the patients were females (62.2%). The average age was 64.6 years old. Most of the patients had diabetes for less than 10 years. About 45 percent of cases had normal protective sensation. 18.6 percent of cases did not have foot numbness but had loss of protective sensation. Most of the patients who had diabetes for more than 10 years had loss of protective sensation.
Conclusion: Most of the patients had risk to develop diabetic foot ulcer. Therefore all diabetic patients should be educated about diabetic foot care and examined their foot to prevent diabetic foot ulcer.
References
Pangsuwan S, Chadchavalpanichaya N, Srisawasdi G, Chuenchit T, Kumjorngrid K, Vipawatana J, et al. Prevalence of Risk to Developing Diabetic Foot Ulcer. J Thai Rehabili Med 2009:19:19-24.
Vascular complications in non-insulin dependent diabetics in Thailand. Thai Multicenter Research Group on Diabetes Mellitus. Diabetes Res Clin Pract. 1994;25(1):61-9. doi:10.1016/0168-8227(94)90162-7.
Frykberg RG. Team approach toward lower extremity amputation prevention in diabetes. J Am Podiatr Med Assoc. 1997;87(7):305-12. doi:10.7547/87507315-87-7-305.
Moss SE, Klein R, Klein BE. The prevalence and incidence of lower extremity amputation in a diabetic population. Arch Intern Med. 1992;152(3):610-6.
Thirapatarapong W, Srisawasdi G. Epidemioloyy and direct cost diabetes-related lower extremity amputation at Siriraj hospital. J Thai Rehabili Med. 2008;18(2)65-9.
Armstrong DG, Lavery LA, Harkless LB. Treatment-based classification system for assessment and care of diabetic feet. J Am Podiatr Med Assoc. 1996;86(7):311-6. doi:10.7547/87507315-86-7-311.
Birke JA, Sims DS. Plantar sensory threshold in the ulcerative foot. Lepr Rev. 1986;57(3):261-7. doi:10.5935/0305-7518.19860028.
Peters EJ, Lavery LA; International Working Group on the Diabetic Foot. Effectiveness of the diabetic foot risk classification system of the International Working Group on the Diabetic Foot. Diabetes Care. 2001;24(8):1442-7. doi:10.2337/diacare.24.8.1442.
Diabetes Association of Thailand, The Endocirne Society of Thailand. Clinical Practice Guideline for Diabetes 2008. Bangkok: Rungsilp Printing Co., Ltd; 2008:68-71. Available from: http://sm-hospital.com/v1/KM/ChronicDissease/Chro_05.pdf.