Prevalence, risk level and risk factors of diabetic foot ulcer among adult individuals with diabetes in the Southeastern Anatolia Region of Turkiye.

IF 2.4 3区医学 Q2 DERMATOLOGY Journal of tissue viability Pub Date : 2024-12-09 DOI:10.1016/j.jtv.2024.12.003

Meryem Kilic, Nermin Olgun, Mehmet Dündar, Sergül Celik Advan, Fatma Zehra Kücük, Seher Okcuoglu, Sevim Sahin, Emine Kır Bicer, Yeliz Ülker, Pınar Sahin, Zeynep Taskiran

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Abstract

Objective: The aim of the study was to determine the prevalence, risk, and predisposing factors of diabetic foot ulcers in adults with diabetes.

Methods: This study is multi-centered descriptive cross-sectional research. Data were collected between June 2022 and November 2022 in seven cities, including five teaching and research hospitals and two public hospitals. The study included 357 people with diabetes. The sample was selected using stratified and systematic sampling. General demographic characteristics, medical history, laboratory and foot examination results, history of foot ulcer and/or amputation, skin and nail problems, peripheral sensory loss (10 g-Semmes-Weinstein monofilament) and vascular assessment were obtained. Logistic regression analysis was used to screen for factors affecting the diabetic foot.

Results: The prevalence of diabetic foot ulcers was 17.1 % (%13.2-%21.5; %95 CI). Among 296 individuals with diabetes without foot ulcers, 86.5 % (256) had risk level 0, 7.3 % (26) had risk level 1, 3.4 % (10) had risk level 2, and 1.4 % (4) had risk level 3. In regression analysis, the variables of peripheral arterial disease (Exp β: 3.781 - P = .027), history of ulcer (Exp β = 26,180 - P < .001), edema (Exp β: 9.784 - P < .001), fungus between the toes (Exp β = 5.284 - p = .009) were associated with a significantly increased risk of developing diabetic foot.

Conclusion: The prevalence of diabetic foot ulcers was found to be approximately two out of every 10 patients with diabetes, and peripheral arterial disease, history of ulcers, edema, and presence of fungus between the toes were found to be among the risks predicting diabetic foot. All diabetic individuals should be diagnosed in terms of diabetic foot risk factors, and follow-up and treatment should be planned considering the basic building blocks of diabetic foot prevention according to the determined risk group.

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土耳其安纳托利亚东南部地区成人糖尿病患者糖尿病足溃疡的患病率、危险水平和危险因素

目的：该研究的目的是确定糖尿病成人足溃疡的患病率、风险和易感因素。方法：本研究采用多中心描述性横断面研究。数据于2022年6月至11月在7个城市收集，其中包括5家教学和研究型医院和2家公立医院。这项研究包括357名糖尿病患者。样本选择采用分层系统抽样。获得一般人口统计学特征、病史、实验室和足部检查结果、足部溃疡和/或截肢史、皮肤和指甲问题、外周感觉丧失（10 g- semes - weinstein单丝）和血管评估。采用Logistic回归分析筛选影响糖尿病足的因素。结果：糖尿病足溃疡患病率为17.1% (%13.2 ~ %21.5；% 95 CI)。在296名没有足部溃疡的糖尿病患者中，86.5%（256人）的风险等级为0,7.3%（26人）的风险等级为1,3.4%（10人）的风险等级为2,1.4%（4人）的风险等级为3。在回归分析中，外周动脉疾病（Exp β: 3.781 - P = 0.027）、溃疡史（Exp β = 26180 - P）为变量。结论：糖尿病足溃疡患病率约为2 / 10，外周动脉疾病、溃疡史、水肿和趾间真菌存在是预测糖尿病足的危险因素。所有糖尿病患者都应根据糖尿病足的危险因素进行诊断，并根据确定的危险人群，考虑糖尿病足预防的基本组成部分，计划随访和治疗。

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来源期刊

Journal of tissue viability DERMATOLOGY-NURSING

CiteScore

3.80

自引率

16.00%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.