Posted by
Akinola Olusegun
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Posted by
Akinola Olusegun
on
- Get link
- Other Apps
In a new study, experts say that the high burden of diabetic foot ulcer accounted for about a quarter of diabetes-related hospital admissions
in Nigeria.
in Nigeria.
Researchers in a multicentre evaluation of diabetic foot ulcer in Nigeria over a year period in six tertiary hospitals in Nigeria recorded high amputation and mortality rates of 35.4 per cent and 20.5 per cent respectively.
They had evaluated the patients’ profile, ulcer characteristics, associated co-morbidities and outcome of 336 patients with a diabetic foot ulcer in Nigeria. The majority (96.1 per cent) had type 2 diabetes.
Only 25.9 per cent of the subjects had prior foot care knowledge. Most of the subjects presented late to the hospital and ulcers were already advanced in 79.2 per cent of the subjects while 76.8 per cent of the ulcers were infected at the time of admission.
In addition, 14.6 per cent of the subjects in this study were unaware of their diabetes status until they presented with a foot ulcer.
Aside from diabetes, the commonest diseases in these patients were hypertension, anaemia and hyperglycemic emergencies. One hundred and nineteen subjects (35.4 per cent) suffered lower extreme amputation(LEA) while 10.4 per cent left against medical advice. The median duration of hospitalisation was 52 days with a case fatality rate of 20.5 per cent.
The 2019 study entitled “Burden of Diabetic Foot Ulcer in Nigeria: Current Evidence from the Multicentre Evaluation of Diabetic Foot Ulcer in Nigeria” was published in the World Journal of Diabetes.
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