scholarly journals Predictive Factors of Major Lower Extremity Amputations in Diabetic Foot Infection: A Cross-sectional Study in Three District Hospitals

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Kow Ren Yi
Keyword(s):  
Predictive Factors ◽  
Lower Limb ◽  
Diabetic Foot ◽  
Cross Sectional Study ◽  
Limb Amputation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Diabetic Foot Infection ◽  
District Hospitals ◽  
History Of

Introduction: Limb amputation in diabetic patients is associated with severe economic, social and psychological effects on patients and their families. This study aimed to evaluate the predictive factors of major lower limb amputation among patients with diabetes mellitus. Materials and Methods: This cross sectional study involved patients from a cluster of three district hospitals in Pahang, Malaysia (Hospital Kuala Lipis, Hospital Raub, and Hospital Bentong) from the 1 st September 2014 to the 31st December 2015. Age, sex, ethiniticy, facilities, presence of hypertension, duration of illness, fever, haemoglobin level, white blood cell level, urea, creatinine, history of more than three limb salvaging surgeries, diagnosis and tissue culture were assessed to determine the predictive factors of major lower limb amputation. Results: History of more than three times limb salvaging surgeries, white blood cell count more than 15x109 /L and longer duration of disease were significant predictive factors of major lower limb amputations in patients with diabetic foot infections. Conclusion: This study highlights the importance of initial limb salvaging surgeries as history of more than three times limb salvaging surgeries is a predictive factors of major amputation in diabetic foot infection.

scholarly journals Aetiopathological and demographic profile of diabetic foot: a prospective cross sectional study from a tertiary hospital in South India

2017 ◽  
Vol 4 (4) ◽  
pp. 1305
Author(s):  
Ragesh Kalikottu Valappil ◽  
Sheena Krishnan ◽  
Siddharth Matad ◽  
Shameej Kinakool Vayalipath
Keyword(s):  
Glycemic Control ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Poor Glycemic Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
History Of

Background: Diabetes mellitus is a chronic disorder affecting large segment of population and is a major public health problem.Methods: A prospective cross sectional study of 150 patients conducted in the Department of Surgery at Government Medical College, Kozhikode, Kerala, IndiaResults: Maximum numbers of patients were in the age group of 60-69. Male to female ratio is 3.04:1.50% had duration of diabetes <10 years and 50% had duration ≥10. years. 81 (54%) patients had neuropathy, 53 (35.3%) had PVD, 41 (27.3%) had history of prior foot ulcer, 70 (46.7%) had poor glycemic control (RBS >200 mg/dl) at the time of admission and 44 (29.3%) had history of smoking.Conclusions: Most important risk factors for diabetic foot ulcers were neuropathy (54%), poor glycemic control (46.7%) and PVD (35.3%), diabetic foot requires a comprehensive management.

Prevalence and Factors Associated with Lower Limb Amputation in Patients Hospitalized for Diabetic Foot: a Cross-sectional Study

2020 ◽  
Vol 16 ◽  
Author(s):  
Abdourahmane Ndong ◽  
Jacques Noel Tendeng ◽  
Mohamed Lamine Diao ◽  
Diatou Gueye Dia ◽  
Amadou Diop Dia ◽  
...  
Keyword(s):  
Lower Limb ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Male Gender ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stage D

Background: Diabetes is the leading cause of non-traumatic amputation of the lower limb. Several factors associated with amputation are described in the literature, but they remain not well studied in our context. Objectives: Our aim is to determine the prevalence and factors associated with amputation in patients hospitalized for diabetic foot. Methods: This is a prospective cross-sectional study performed over the period from December 1, 2017 to June 30, 2018. The patients included were those hospitalized for trophic disorders of the foot in patients with type 2 diabetes. The studied parameters were: epidemiological, diagnostic, therapeutic and evolutionary data. An univariate analysis and then a binary logistic regression identified the factors associated with lower limb amputation. Results: We included 53 patients. A lower limb amputation was performed in 8 patients (prevalence of 15.1%). Univariate analysis found as factors associated with major amputation: advanced age (p = 0.031); male gender (p = 0.003); use of traditional treatment (p = 0.036); non-compliance with the diabetic diet (p = 0.016); stage D of the University of Texas (UT) Classification (p = 0.029); grade ≥ 2 of the UT Classification (p = 0.002). Logistic regression finds only the following two variables as independent factor associated with amputation: male gender (p = 0.004, OR = 36.1 and CI = 3.2-402.9); stage D of the UT classification (p = 0.014, OR = 21.3 and CI = 1.8-244.2). Conclusion: Controlling these factors would allow better management of diabetes to avoid complications.

scholarly journals Factors associated with diabetic foot amputations

2015 ◽  
Vol 14 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Isabel Cristina Ramos Vieira Santos ◽  
Eduardo Freese de Carvalho ◽  
Wayner Vieira de Souza ◽  
Emídio Cavalcanti de Albuquerque
Keyword(s):  
Primary Care ◽  
Lower Limb ◽  
Diabetic Foot ◽  
Cross Sectional Study ◽  
Limb Amputation ◽  
Public Healthcare ◽  
Preventative Care ◽  
Large Hospital ◽  
Cross Sectional ◽  
The Public

BACKGROUND: Diabetes and the problem of the diabetic foot specifically are a severe burden on the public healthcare system. Amputations caused by this condition are still common in our setting (Brazil), although the true magnitude of the problem is not known with certainty. Lower limb amputation rates have come to be seen as an indicator of the quality of preventative care of the diabetic foot. OBJECTIVE: To identify associations between amputations and factors related to people, to morbidities and to primary care received. METHODS: This was a cross-sectional study of a sample of 137 patients with diabetic feet admitted to a large hospital in the city of Recife, Pernambuco, Brazil. Logistic regression analysis was conducted. RESULTS: Associations with amputation were detected for the following variables: age over 60; resident of the Metro zone; income of three minimum salaries or less; presence of gangrene on admission; glycemia ≥ 126 mg/dL; smoking; not receiving information about results of glycemia testing; not having feet examined, and not being given guidance on caring for feet at consultations during the previous year. CONCLUSIONS: Factors related to Primary Care, such as time since onset of ulcers, information about results of glycemia testing and lack of guidance on how to care for their feet, were associated with occurrence of lower limb amputations.

scholarly journals Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study

2018 ◽  
Vol 52 (5) ◽  
pp. 348-351 ◽  
Author(s):  
Elham Esfandiari ◽  
Amir Yavari ◽  
Amir Karimi ◽  
Mehdi Masoumi ◽  
Mohammadreza Soroush ◽  
...  
Keyword(s):  
Lower Limb ◽  
Cross Sectional Study ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Sectional Study ◽  
Cross Sectional ◽  
And Function

scholarly journals Prosthetic Satisfaction and Body Image among Lower Limb Amputee: A Cross-sectional Study

2021 ◽  
Author(s):  
Sudhir Ramkishore Mishra ◽  
Dileep Kumar ◽  
Ganesh Yadav ◽  
AK Gupta ◽  
Satyasheel Asthana
Keyword(s):  
Body Image ◽  
Lower Limb ◽  
Cross Sectional Study ◽  
Sensory Loss ◽  
Limb Amputation ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Lower Limb Amputee

Introduction: Limb amputation not only brings functional and sensory loss, but also leads to loss or change of body image. These changes have significant effect on the Quality of Life (QoL) of an individual. Amputee adaptation varies widely between individuals. For an amputee a prosthesis not only bring back near normal physical appearance but also it significantly repair his disturbed body image. There is a significant correlation between body image and life satisfaction. Aim: To investigate the correlation between body image and prosthetic satisfaction among lower limb amputee. Materials and Methods: This cross-sectional study was conducted from July 2018 to January 2020 at King George’s Medical University, Lucknow, Uttar Pradesh, India. Participants with unilateral lower limb prosthesis using amputees of either sex from Regional Artificial Limb Centre, Lucknow were included in the study. Each participant was subjected offline questionnaire based assessment of satisfaction with respect to their prosthesis related to it`s function, aesthetic (cosmesis), weight of prosthesis and general (overall) by Revised Trinity Amputation and Prosthesis Experience Scale (R-TAPES). Change in body image was assessed by Amputee Body Image Scale (ABIS). Results were analysed by computer-based software Statistical Package for the Social Sciences (SPSS) windows version 20.0. Analysis of Variance (ANOVA) t-test was used for normally distributed and Mann-Whitney U test was used for abnormally distributed variables. Results: The study enrolled 119 patients in which the most common cause of amputation was an accident (69). Statistically significant difference was found for satisfaction between males and females for weight of prosthesis (p-value=0.038). Statistically significant difference was found between male and female for amputee body image with ABIS score (p-value=0.001). Significant correlation was found between ABIS and functional satisfaction (p-value=0.001; r=-0.38)) and between ABIS and weight satisfaction (p-value=0.001; r=-0.36). Conclusion: Amputation causes significantly deterioration of body image among the amputee, with such deteriorated body image prosthetic satisfaction remains a big challenge for healthcare worker and prosthetist.

scholarly journals Healthcare Workers’ Perspectives on the Upcoming COVID-19 Vaccine in Terms of Their Exposure to the Influenza Vaccine in Riyadh, Saudi Arabia: A Cross-Sectional Study

Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 465
Author(s):  
Leena R. Baghdadi ◽  
Shatha G. Alghaihb ◽  
Alanoud A. Abuhaimed ◽  
Dania M. Alkelabi ◽  
Rawan S. Alqahtani
Keyword(s):  
Saudi Arabia ◽  
Influenza Vaccine ◽  
Work Experience ◽  
Healthcare Workers ◽  
Seasonal Influenza ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Seasonal Influenza Vaccine ◽  
History Of

In 2019, a novel severe acute respiratory syndrome (SARS-CoV-2 (COVID-19)) caused a global pandemic. There was an urgent need to develop a vaccine against COVID-19 to reduce its spread and economic burden. The main objective of this study was to understand the attitudes and concerns of healthcare workers (HCWs) towards the upcoming COVID-19 vaccine, whether their decision was influenced by their history of taking the seasonal influenza vaccine, and factors that influence the acceptance of the upcoming COVID-19 vaccine. This was a cross-sectional study conducted in Riyadh, Saudi Arabia. We selected and surveyed 356 HCWs via an electronic self-administered questionnaire. A total of 61.16% of HCWs were willing to receive the COVID-19 vaccine, and 55.9% of them had received the seasonal influenza vaccine in the preceding year (2019–2020). The strongest predictors for taking the COVID-19 vaccine were the HCWs’ belief that the COVID-19 vaccine would be safe, needed even for healthy people, that all HCWs should be vaccinated against COVID-19, and that HCWs will have time to take the vaccine. Being female, being middle aged, having <5 years of work experience, having no fear of injections, and being a non-smoker were predictive factors for taking the upcoming COVID-19 vaccine. No associations were found between the intention to take the COVID-19 vaccine and a history of taking the seasonal influenza vaccine.

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