Assessment of Foot Complications in Diabetic Patients Using Thermography: A Review

2017 ◽  
pp. 33-43 ◽  
Author(s):  
Mahnaz Etehadtavakol ◽  
Eddie Y. K. Ng
Keyword(s):  
Diabetic Patients ◽  
Foot Complications

scholarly journals Prevention and treatment of diabetic foot ulcers

2017 ◽  
Vol 110 (3) ◽  
pp. 104-109 ◽  
Author(s):  
Jonathan Zhang Ming Lim ◽  
Natasha Su Lynn Ng ◽  
Cecil Thomas
Keyword(s):  
Diabetic Foot ◽  
Healthcare Access ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Foot Care ◽  
Healthcare Provision ◽  
Foot Complications

The rising prevalence of diabetes estimated at 3.6 million people in the UK represents a major public health and socioeconomic burden to our National Health Service. Diabetes and its associated complications are of a growing concern. Diabetes-related foot complications have been identified as the single most common cause of morbidity among diabetic patients. The complicating factor of underlying peripheral vascular disease renders the majority of diabetic foot ulcers asymptomatic until latter evidence of non-healing ulcers become evident. Therefore, preventative strategies including annual diabetic foot screening and diabetic foot care interventions facilitated through a multidisciplinary team have been implemented to enable early identification of diabetic patients at high risk of diabetic foot complications. The National Diabetes Foot Care Audit reported significant variability and deficiencies of care throughout England and Wales, with emphasis on change in the structure of healthcare provision and commissioning, improvement of patient education and availability of healthcare access, and emphasis on preventative strategies to reduce morbidities and mortality of this debilitating disease. This review article aims to summarise major risk factors contributing to the development of diabetic foot ulcers. It also considers the key evidence-based strategies towards preventing diabetic foot ulcer. We discuss tools used in risk stratification and classifications of foot ulcer.

scholarly journals Risk factors that predict major amputations and amputation time intervals for hospitalised diabetic patients with foot complications

2021 ◽  
Author(s):  
Yu‐Yu Chou ◽  
Chin‐Chun Hou ◽  
Chien‐Wei Wu ◽  
Dun‐Wei Huang ◽  
Sheng‐Lin Tsai ◽  
...  
Keyword(s):  
Risk Factors ◽  
Diabetic Patients ◽  
Time Intervals ◽  
Foot Complications

AN APPROACH TO DIAGNOSIS AND MANAGEMENT OF DIABETIC FOOT

2021 ◽  
pp. 21-23
Author(s):  
Anil Kumar ◽  
Md Aiman Khursheed ◽  
Debarshi Jana
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Patients ◽  
The West ◽  
Metabolic Complications ◽  
Medical College ◽  
The North ◽  
Foot Complications ◽  
Strict Glycemic Control ◽  
Peripheral Pulse

INTRODUCTION India has the dubious distinction of becoming the diabetic capital of the world within the next few years; with its attendant complications it is going to burden the resources of the country. In the past, the diabetics succumbed to the metabolic complications like ketoacidosis, but now they survive long enough to develop and succumb to the diabetic nephropathy and diabetic foot complications. AIMS AND OBJECTIVES The various predisposing factors for diabetic foot with respect to North Bihar population. To analyse the different ways of clinical presentation of diabetic foot in our hospital. To evaluate the usefulness of surgical management available with special emphasis on strict glycemic control. To determine commonest microorganism/s infecting the diabetic foot patients in the North Bihar Population. MATERIALS AND METHODS Department of General Surgery, DARBHANGA MEDICAL COLLEGE AND HOSPITAL, LAHERIASARAI. Diabetic patients with foot ulcers admitted in this hospital, according to the WHO criteria, were selected for this study for 1 Year 8 month (April 2019 to December 2020). RESULTS AND ANALYSIS We found peripheral Pulse of 37.9% of the patients was absent. Infection was present in 86.2% of the cases which was signicantly higher (Z=10.23;p<0.0001). Ulcers were mostly at dorsum (22.4%) (Z=1.58;p=0.11) followed by fore foot (13.8%) and great toe (13.8%). Ulcers were mostly right sided (67.2%) followed by left sided (31.0%) (Z=5.12;p<0.001). Only 1(1.7%) patients had bilateral infection. CONCLUSION The prevalence of risk factors for foot ulcer and infections, viz., neuropathy and vasculopathy, are different from the Western literature. Studies from India, suggest predominantly neuropathic ulcers unlike the West where neuroischemia is the most important predisposing factor.As compared to the West, which have predominant Gram-positive infections, centers throughout India have reported a consistent Gramnegative bacterial preponderance in DFI.

scholarly journals Prevalence of peripheral neuropathy and peripheral artery disease in diabetic patients attending a tertiary care hospital

2019 ◽  
Vol 6 (5) ◽  
pp. 1493
Author(s):  
Sangeetha Meena ◽  
Manikandan R. C.
Keyword(s):  
Peripheral Neuropathy ◽  
Peripheral Artery Disease ◽  
Color Doppler ◽  
Tertiary Care ◽  
Ankle Brachial Index ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Peripheral Artery ◽  
Foot Complications ◽  
Artery Disease

Background: Foot complications are one of the most devastating complications among diabetes all over the world. Both Diabetic Peripheral Neuropathy (DPN) and Peripheral Artery Disease (PAD) are responsible for diabetic foot complications. Aim of this study is to screen diabetic patients for both DPN and PAD.Methods: This is a cross-sectional study covering 200 diabetic patients attending a Teaching Hospital. Prevalence of DPN was assessed using Biothesiometer and PAD by measuring the Ankle Brachial Index using handheld Doppler.Results: 49.5% had DPN and 19.5% had PAD. 13% had both PAD and DPN. Most of the subjects were in 51-60 years age group constituting 36.5 %. 61.5% were females. 69.5% had diabetes for more than 10 years. 88% had their HbA1C of more than 6.5%.Conclusions: The prevalence of PVD is multi-fold higher in patients with diabetes with smoking, hyperglycemia, hypertension, dyslipidemia, as major risk factors. Ankle, brachial pressure index, is useful in identifying PVD and it needs further evaluation by an arterial color Doppler and digital subtraction angiography.

Does the Start of Dialysis Initiate a Period of Increased Risk of Ulceration or Amputation?

2018 ◽  
Vol 108 (1) ◽  
pp. 1-5
Author(s):  
Lawrence A. Lavery ◽  
David C. Lavery ◽  
Nathan A. Hunt ◽  
Javier La Fontaine ◽  
Ryan D. Lavery
Keyword(s):  
Medical Records ◽  
Claims Data ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Dialysis Therapy ◽  
Foot Complications ◽  
Increased Risk ◽  
Significant Difference ◽  
Before And After ◽  
Over Time

Background: Dialysis therapy is associated with an increased incidence of lower-extremity wounds and amputations. We compared the incidence of foot ulcers and amputations before and after the start of dialysis. Methods: We evaluated 150 consecutive diabetic patients receiving dialysis and compared the incidence of foot complications 30 months before and after initiation of hemodialysis. We used claims data for diabetes, ulceration, and dialysis and abstracted medical records to verify diagnoses and dates of ulcers and amputations. We compared initial and cumulative ulcer/amputation incidence to account for multiple events in the same person over time. We used the same formula to determine the incidence rate difference and 95% confidence intervals (CIs) to compare new ulcers and amputations during the study. Results: There was no significant difference in the incidence of first foot ulcers before (91.7 per 1,000 patient-years; 95% CI, 73.7–112.3 per 1,000 patient-years) and after (82.7; 95% CI, 65.7–102.3) the start of hemodialysis. The incidence of cumulative ulcers was significantly higher before (304.0 per 1,000 patient-years; 95% CI, 270.8–340.2) compared with after (210.7 per 1,000 patient-years; 95% CI, 183.0–240.9) dialysis. There was no difference in the incidence of first amputation before (29.3 per 1,000 patient-years; 95% CI, 1 9.4–41.7 per 1,000 patient-years) and after (37.3 per 1,000 patient-years; 95% CI, 19.4–41.7 per 1,000 patient-years) dialysis or in the cumulative incidence of amputations before (61.3 per 1,000 patient-years; 95% CI, 46.7–8.4 per 1,000 patient-years) and after (58.7 per 1,000 patient-years; 95% CI, 44.5–75.5 per 1,000 patient-years) dialysis. Conclusions: There was no increase in the incidence of ulcers or amputations after beginning hemodialysis.

scholarly journals Financial burden of diabetic foot ulcers to world: a progressive topic to discuss always

2017 ◽  
Vol 9 (1) ◽  
pp. 29-31 ◽  
Author(s):  
Alok Raghav ◽  
Zeeshan Ahmad Khan ◽  
Rajendra Kumar Labala ◽  
Jamal Ahmad ◽  
Saba Noor ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Developing Countries ◽  
Diabetic Foot ◽  
Social Impact ◽  
Financial Burden ◽  
Developed Countries ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Foot Complications

Diabetic foot complications are the most common occurring problems throughout the globe, resulting in devastating economic crises for the patients, families and society. Diabetic foot ulcers (DFUs) have a neuropathic origin with a progressive prevalence rate in developing countries compared with developed countries among diabetes mellitus patients. Diabetic patients that are of greatest risk of ulcers may easily be diagnosed with foot examination. Economic burden may be carefully examined. The budget costing must include both the clinical and social impact of the patients.

Management and Outcome of Diabetic Foot-A Study of Hundred Case

2020 ◽  
Vol 23 (1) ◽  
pp. 25-28
Author(s):  
Mohammad Ali ◽  
Md Jamal E Rabby ◽  
Md Masud Zaman ◽  
Md Abdus Salam ◽  
Md Kabirul Hassan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Treatment Modalities ◽  
Diabetic Patients ◽  
Minor Trauma ◽  
College Hospital ◽  
Medical College ◽  
Foot Complications ◽  
Foot Problems

Background: Diabetes mellitus is a complex metabolic disorder that affect 1-2 percent of the population. It can give rise to many tissue complications among which foot is particularly vulnerable to circulatory and neurological disorder, so that even minor trauma can lead to ulceration and infection. Methods: Between September 2008 and August 2009, 100 patients were undergone treatment for diabetic foot at department of Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogra. This study included all the cases of diabetic foot irrespective of age, sex and diabetic status. Results: After 12 weeks treatment 84% of patient were completely recovered, 2% developed abscess, 8% developed ulceration and 6% developed gangrene. Mean age of diabetic patients with foot ulcer is 50-60 years. Out of 100 cases 64% male and 36% female. Maximum number of patient (64%) had foot problems after suffering from diabetes mellitus for a period of 6-10 years. Conclusion: The modalities of treatment of diabetic foot should be selected for each type of pathology depending on the pattern of presentations of diabetic foot. Careful selection of treatment modalities can reduce the rate of diabetic foot complications and improve the quality of life of diabetic patients. Journal of Surgical Sciences (2019) Vol. 23 (1) : 25-28

Therapeutic Options for Diabetic Foot Infections

2010 ◽  
Vol 100 (1) ◽  
pp. 52-63 ◽  
Author(s):  
David P. Nicolau ◽  
Gary E. Stein
Keyword(s):  
Diabetic Foot ◽  
Antimicrobial Agents ◽  
Multidrug Resistant ◽  
Therapeutic Options ◽  
Diabetic Patients ◽  
Chronic Infections ◽  
Gram Positive Bacteria ◽  
Diabetic Foot Infections ◽  
Foot Complications ◽  
Optimal Drug

Foot complications are common in diabetic patients; foot ulcers are among the more serious consequences. These ulcers frequently become infected, and if not treated promptly and appropriately, diabetic foot infections can lead to septic gangrene and amputation. Foot infections may be classified as mild, moderate, or severe; this largely determines the approach to therapy. Staphylococcus aureus is the most common pathogen in these infections, and the increasing incidence of methicillin-resistant S aureus during the past two decades has further complicated antibiotic treatment. Chronic infections are often polymicrobial. Physiologic changes, and local and systemic inflammation, can affect the plasma and tissue pharmacokinetics of antimicrobial agents in diabetic patients, leading to impaired target-site penetration. Knowledge of the serum and tissue concentrations of antibiotics in diabetic patients is, therefore, important for choosing the optimal drug and dose. This article reviews the commonly used therapeutic options for treatment, including many newer antibiotics developed to target multidrug-resistant gram-positive bacteria, and includes available data relating specifically to the tissue penetration of these agents. (J Am Podiatr Med Assoc 100(1): 52–63, 2010)

Scoring Mental Health Quality of Life With the SF-36 in Patients With and Without Diabetes Foot Complications

2018 ◽  
Vol 17 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Junho Ahn ◽  
Michael A. Del Core ◽  
Dane K. Wukich ◽  
George T. Liu ◽  
Trapper Lalli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Function ◽  
Diabetic Foot ◽  
Short Form ◽  
Diabetic Patients ◽  
Foot Complications ◽  
Sf 36 ◽  
Mental Health Subscale

The aim of this study was to examine if using orthogonal and oblique factor analysis detect changes in health-related quality of life differently in diabetic patients on the Short Form-36 (SF-36) survey. A total of 155 patients had diabetic foot complications (DFC), and 145 patients had no DFCs. The SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were calculated using scoring coefficients determined by orthogonal and oblique rotation principle component analyses of the subscales. The DFC group had lower orthogonal ( P < .00001) and oblique PCS scores ( P < .00001). However, despite lower Mental Health subscale scores in the patients with DFCs, orthogonal MCS scores ( P = .156) did not differ. In contrast, the oblique MCS scores reflected the difference in the Mental Health subscale ( P = .0005). Orthogonal and oblique PCS scores did not differ significantly. However, orthogonal MCS scores were significantly higher than oblique MCS scores in those with DFCs ( P = .0004) and without DFCs ( P = .005). The shorter, 12-item SF-12 survey demonstrated similar results. Poorer physical function leads to higher orthogonal MCS scores than if determined by oblique scoring coefficients since Physical Function, Bodily Pain, and General Health are weighted more negatively in orthogonal coefficients when calculating the MCS score. Oblique scoring coefficients may address this issue, but further study is necessary to confirm whether oblique MCS scores accurately represent the mental health of patients with diabetic foot disease.

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