scholarly journals A Prospective Observational Study on Diabetic Induced Complications and their Prone towards Surgery

2021 ◽  
pp. 343-353
Author(s):  
C. Madhusudhana Chetty ◽  
K. Mabichan ◽  
H. Raga Sandhya ◽  
K. Mallikarjuna
Keyword(s):  
Diabetes Mellitus ◽  
Observational Study ◽  
Diabetic Complications ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Vascular Complications ◽  
Foot Ulcer ◽  
Patient Counselling ◽  
Diabetic Ulcer ◽  
Artery Disease

Background: This study was mainly aimed to find out the diabetic complications that had been lead to surgey. The Diabetes mellitus describes a metabolic disorder of multiple aetiology characterized by chronic hyperglycaemia with disturbances of carbohydrate,fat and protein metabolism resulting from defects in insulin secretion,insulin action, or both.The effects of diabetes mellitus include long-term damage,dysfunction and failure of various organs. Materials and Methods: A prospective observational study was conducted in the Santhiram college & general hospital for 6 months (December 2020 – May 2021)to assess the macro vascular and micro vascular complications of diabetes mellitus and prone to surgery of diabetic complications by using case sheets, prescriptions in tertiary care teaching hospital. Results: A total of 150 patients are included in this study.In patients with diabetic complications we have observed: Diabetic ulcer with cellulitis in 19, gangrene in 19, peripheral vascular disease in 6, gangrene with cellulitis in 11,Non healing diabetes foot ulcer in 35, Coronary artery disease 24, diabetic retinopathy 25, MI in 11 patients.Among all complications, non healing diabetic foot was observed to be more when compared to other diabetic complications.In the study performed in diabetic induced complications of patients, debridement was performed in 30% patients, Amputation were performed in 13%, skin grating was performed in 13% patients, Angioplasty were performed in 23% patients and lasix surgery performed in 13% patients. Conclusion: In our study we conclude that out of 150 cases, male patients are more prone to diabetic complications than females.The patient counselling should involve in minimizing the incidence and prevalence of diabetes by conducting the continuing health education and other health programms.

scholarly journals P200Biochemical markers in patients with coronary artery disease and diabetes mellitus: prospective observational study

2014 ◽  
Vol 103 (suppl 1) ◽  
pp. S35.4-S36
Author(s):  
TI Petelina ◽  
NA Musikhina ◽  
LI Gapon ◽  
VA Kuznetsov ◽  
OE Belosludtseva
Keyword(s):  
Diabetes Mellitus ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Artery Disease

scholarly journals Factors associated with knowledge and practice about foot care among patients admitted with diabetes mellitus in a tertiary care teaching hospital, south India

2020 ◽  
Vol 10 (3) ◽  
pp. 897-904
Author(s):  
H. Pavithra ◽  
Kibballi Madhukeshwar Akshaya ◽  
Abhay Subashrao Nirgude ◽  
A.G. Balakrishna
Keyword(s):  
Diabetes Mellitus ◽  
Teaching Hospital ◽  
Good Practice ◽  
Tertiary Care ◽  
Vascular Complications ◽  
Foot Ulcer ◽  
Poverty Line ◽  
Foot Care ◽  
College Hospital ◽  
Cross Sectional

Background: Diabetes Mellitus (DM) causes micro and macro vascular complications. One of the complications of DM is diabetic foot that results in amputations and decreased quality of life. The aim of this study was to assess the awareness and practice about foot care and associated factors among admitted patients in a teaching hospital of coastal Karnataka, India. Material and Methods: A cross-sectional study was conducted in a medical college hospital after obtaining institutional ethics approval from 24th December 2016 to 21st January 2017. Adults with diabetes (N=317) admitted in the hospital were interviewed with a validated structured questionnaire for awareness and practice regarding foot care. The scores obtained were further graded into good and poor. Data was analyzed with SPSS version 22 for descriptive statistics. Bivariate logistic and linear regressions were used to determine the association between variables and awareness/ practice scores. Results: Mean age of the participants was 56.98 (±10.54) years with males constituting the majority (63.4%). Good awareness and practice scores were observed among 69.1% and 41.6% participants, respectively. Good awareness scores were associated with male patients (p=0.027), currently not married (p=0.044), below poverty line socioeconomic status (p=0.014) and presence of foot ulcer (p=0.021). Good practice scores was associated with secondary schooling (p=0.003) and receiving insulin (p=0.045). Moderate correlation with coefficient 0.493 (p<0.001) was observed between awareness and practice scores. Conclusion: Seven and four out of 10 study participants had good awareness and practice scores about foot care, respectively. A tailor-made health education module addressing the lacunae identified in the awareness and practice domains needs to be provided to the patients with diabetes mellitus.

scholarly journals A prospective observational study of drug prescription pattern of antibiotics in diabetic foot ulcer in tertiary care teaching hospital

2020 ◽  
Vol 9 (7) ◽  
pp. 1020
Author(s):  
Kamalavarshini Paramasivamsasanger ◽  
Prema Mariappan ◽  
Dhivya Govindasamy ◽  
Padmavathi Karunakaran ◽  
Rajalakshmi Ramesh
Keyword(s):  
Observational Study ◽  
Diabetic Foot ◽  
Prospective Observational Study ◽  
Drug Prescription ◽  
Tertiary Care ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Prescribing Pattern ◽  
College Hospital ◽  
First Choice

Background: Our aim was to study a prescribing pattern of antibiotics used in diabetic foot ulcer (DFU).Methods: 50 patients were selected by inclusion and exclusion criteria basis. It was a prospective observational study conducted in Department of Surgery, Rajah Muthiah Medical College Hospital (RMMCH), Annamalai University.Results: This study reveals that male patients 60% are more prone to develop diabetic foot ulcer than the female patients 40%. Patients of 50 to 60 age group 32% has higher prevalence of DFU. The most commonly prescribed antibiotics are metronidazole 48% and cefotaxime 48% followed by piperacillin and tazobactam combination 30%, ciprofloxacin 20%, linezolid 18%, amoxicillin and clavulanic acid combination 12%, cefixime 6%, clindamycin 4%, amikacin 4%, faropenam 4%, ceftriaxone 2%, amoxicillin 2%, gentamicin 2%, cefoperazone sodium and sulbactam combination 2%.Conclusions: Lack of antibiotic sensitivity test leads to growth of organism, wrong antibiotic selection and irrational use of antibiotics. And also observed patient developed resistance to linezolid antibiotic when used as a first choice of drug to treat diabetic foot infection including methicillin-resistant Staphylococcus aureus (MRSA) infected patients.

scholarly journals A PROSPECTIVE OBSERVATIONAL STUDY ON THE EVALUATION OF RISK FACTORS IN PATIENTS DIAGNOSED WITH CORONARY ARTERY DISEASE IN TERTIARY CARE HOSPITAL.

2020 ◽  
pp. 283-286
Author(s):  
CHINMAYI PINNA ◽  
Dharavath Vinay Naik Dharavath Vinay Naik ◽  
Naresh Podugu Naresh Podugu ◽  
Shaik.Mohammed Shaabaaz Shaik.Mohammed Shaabaaz ◽  
Okeke Chukwugoziem Bright Okeke Chukwugoziem Bright
Keyword(s):  
Risk Factors ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Factors Associated ◽  
Artery Disease

Background: coronary artery disease is one of the most common types of cardiovascular disorder and it occurs when the coronary artery that supply blood to the heart muscle is compromised due to the accumulation of materials such as plaque/cholesterol atherosclerosis risk factors associated with coronary artery disease   men are susceptible at 45, women at 55 include age, gender, genetics, etc, Objective: To identify the patients at elevated risk for CAD, To identify patients required further investigation to confirm the diagnosis of CAD, To describe a management plan including lifestyle changes, medications, psychosocial support, cardiac rehabilitation, etc. Methods:  A prospective observational study was conducted for a period of 6 months, from CAD patients attending max cure hospital. The data was collected from the participants after consent. Relevant patient lifestyles and lab data were documented in the data collection form (DCF). Results: The study findings are according to parameter wise, age categorization defines that in 51-60 ranging age group 27.22% that is the highest percent affected people are observed with CAD.  Of the total number of subjects participated in the study (n=202) the gender-wise comparison males (144) are more than females (58).To observe patient region, urban people (68%) are mostly affected with CAD than rural people (32%). To identify risk factors of CAD, patients with DM (34.67%), HTN (23%), smoking (17.32%), alcohol (25.74%), and obesity (13.86%) are the major risk factors associated with CAD. Based on family history a total of 21 members were identified out of 202, among them with CAD were 7, with CKD were 6, with HTN were 5 and with DM were 3 members respectively.  According to the past history in a total of 202 members, patients with Cerebrovascular accidents were 4, patients with MI/UA were 20, and CKD were 4 respectively. Conclusion: Evaluation of risk factors in patients with coronary artery disease in a tertiary care hospital was observed. Age, Diabetes mellitus, Hypertension, Smoking, Alcohol, and Obesity are more causing risk factors than others.

scholarly journals Prescribing Pattern of Drugs in Outdoor Patients with Type 2 Diabetes Mellitus in Relation to the Duration of Diabetes in a Tertiary Care Teaching Hospital – A Prospective Observational Study

2021 ◽  
Vol 8 (05) ◽  
pp. 256-260
Author(s):  
Himani Gupta ◽  
Seema Gupta ◽  
Vivek Mahajan ◽  
Nusrat Kareem Bhat ◽  
Suman Kumar Kotwal
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Observational Study ◽  
Drug Combination ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Prescribing Pattern ◽  
Duration Of Diabetes

BACKGROUND The current study was undertaken to evaluate the prescribing pattern of drugs in relation to the duration of diabetes in outdoor patients with type 2 diabetes mellitus in a tertiary care teaching hospital. There is scanty data on assessment of prescribing pattern of antidiabetic drugs in relation to the duration of diabetes especially from Indian population and no such study has been cited in our setup. METHODS This is a prospective observational study conducted in outdoor patients with type 2 diabetes mellitus for a period of 6 months. Our study sample included 155 patients whose prescriptions were analysed and detailed information such as demographic details, presenting complaints, past medical history of patients were recorded in their patient profile form after taking informed consent from those patients who fulfilled our study criteria. RESULTS Data of 155 patients was collected and analysed. The average age was 51.21 ± 9.73 with 92 % of patients being more than 40 years of age and most of the patients (50 %) have diabetes of duration < 5 years. The female to male ratio was 1.76. A Multidrug antidiabetic regimen (72 %) was more common than monotherapy (28 %). Commonly prescribed drugs were biguanides (metformin) (87 %) followed by sulfonylureas (SU) (45 %), dipeptidyl peptidase 4 inhibitor (DPP4i) (42 %), and insulin (14 %). Metformin was the most commonly used drug followed by glimepiride and teneligliptin. Drug combinations were more common than a single drug. Metformin + glimepiride was the most common drug combination followed by metformin + teneligliptin. Commonly prescribed drugs for comorbid conditions were telmisartan, levothyroxine and atorvastatin. CONCLUSIONS It was found that the prescribing pattern of drugs was mostly as per the recommendations of different guidelines. The study exhibited a significant increase in the utilization of two-drug combination therapies. Biguanides were the most commonly prescribed oral hypoglycaemic and metformin with glimepiride has been widely used. There was a proportionate rise in the use of insulin with an increase in the duration of diabetes. Brand names were commonly used compared to generic names, so we need to promote generic prescriptions. KEYWORDS Antidiabetic Drugs, Type 2 Diabetes Mellitus, Prescribing Pattern, Duration of Diabetes

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