Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia

Background: Diabetic Foot Ulcer (DFU) has been associated with a high mortality rate of Diabetes Mellitus (DM) patients. Both behavioral and biological factors cause predisposition to DFU. Purpose: This research describes the profile of hospitalized DFU patients at a tertiary care hospital in Suraba...

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Autores principales:	Arisvia Sukma Hariftyani, Hermina Novida, Mouli Edward
Formato:	article
Lenguaje:	EN ID
Publicado:	Universitas Airlangga 2021
Materias:	diabetic foot ulcer diabetes mellitus foot complications sepsis tertiary care hospital Public aspects of medicine RA1-1270 Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/33e22d4ec0fa4dbe8fdcded2fbad85d7
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spelling	oai:doaj.org-article:33e22d4ec0fa4dbe8fdcded2fbad85d72021-12-02T18:03:32ZProfile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia2301-71712541-092X10.20473/jbe.V9I32021.293-302https://doaj.org/article/33e22d4ec0fa4dbe8fdcded2fbad85d72021-09-01T00:00:00Zhttps://e-journal.unair.ac.id/JBE/article/view/21837https://doaj.org/toc/2301-7171https://doaj.org/toc/2541-092XBackground: Diabetic Foot Ulcer (DFU) has been associated with a high mortality rate of Diabetes Mellitus (DM) patients. Both behavioral and biological factors cause predisposition to DFU. Purpose: This research describes the profile of hospitalized DFU patients at a tertiary care hospital in Surabaya. Methods: A retrospective descriptive study that analyzed medical records of hospitalized T2DM patients with DFU in Dr. Soetomo General Hospital. Sampled respondents were patients ≥ 21 years old who were hospitalized between 2016–2018. Demographic data, clinical characteristics, medical histories, length of hospital stay, laboratory results, precipitating factors, microorganism culture results, treatment, and outcome were analyzed. Descriptive analysis is presented in the form of narratives, tables, and diagrams. Results: 9.08% of hospitalized Type 2 DM (T2DM) cases were related to foot ulcers. The average patient age was 57.00 ± 9.83 years with no gender predominance. DM was poorly controlled (Mean HbA1C 9.78±2.83%; RBG 251.83 ± 158.15 mg/dL). The majority of patients had sepsis (68.26%) and renal function impairment (62.72%). Ulcers with Wagner grades of 4–5 were frequent (41.31%). The highest percentage of sepsis (80.49%) and the average leukocyte level (22.60±11.95 x109/L) were found in gangrenous feet. Anemia was more predominant and severe in ulcers with higher Wagner grades. Trauma and Escherichia coli were the most common precipitating factors and microorganisms isolated, respectively. Amputation was performed for 82.36% of patients who were admitted to hospital with gangrene. The Lower Extremity Amputation (LEA) and mortality rates were 14.11% and 40.93%, respectively. Conclusion: DFUs were found to have a relatively high prevalence among T2DM patients, and must never be neglected due to the high associated mortality rate.Arisvia Sukma HariftyaniHermina NovidaMouli EdwardUniversitas Airlanggaarticlediabetic foot ulcerdiabetes mellitusfoot complicationssepsistertiary care hospitalPublic aspects of medicineRA1-1270Infectious and parasitic diseasesRC109-216ENIDJurnal Berkala Epidemiologi, Vol 9, Iss 3, Pp 293-302 (2021)
institution	DOAJ
collection	DOAJ
language	EN ID
topic	diabetic foot ulcer diabetes mellitus foot complications sepsis tertiary care hospital Public aspects of medicine RA1-1270 Infectious and parasitic diseases RC109-216
spellingShingle	diabetic foot ulcer diabetes mellitus foot complications sepsis tertiary care hospital Public aspects of medicine RA1-1270 Infectious and parasitic diseases RC109-216 Arisvia Sukma Hariftyani Hermina Novida Mouli Edward Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia
description	Background: Diabetic Foot Ulcer (DFU) has been associated with a high mortality rate of Diabetes Mellitus (DM) patients. Both behavioral and biological factors cause predisposition to DFU. Purpose: This research describes the profile of hospitalized DFU patients at a tertiary care hospital in Surabaya. Methods: A retrospective descriptive study that analyzed medical records of hospitalized T2DM patients with DFU in Dr. Soetomo General Hospital. Sampled respondents were patients ≥ 21 years old who were hospitalized between 2016–2018. Demographic data, clinical characteristics, medical histories, length of hospital stay, laboratory results, precipitating factors, microorganism culture results, treatment, and outcome were analyzed. Descriptive analysis is presented in the form of narratives, tables, and diagrams. Results: 9.08% of hospitalized Type 2 DM (T2DM) cases were related to foot ulcers. The average patient age was 57.00 ± 9.83 years with no gender predominance. DM was poorly controlled (Mean HbA1C 9.78±2.83%; RBG 251.83 ± 158.15 mg/dL). The majority of patients had sepsis (68.26%) and renal function impairment (62.72%). Ulcers with Wagner grades of 4–5 were frequent (41.31%). The highest percentage of sepsis (80.49%) and the average leukocyte level (22.60±11.95 x109/L) were found in gangrenous feet. Anemia was more predominant and severe in ulcers with higher Wagner grades. Trauma and Escherichia coli were the most common precipitating factors and microorganisms isolated, respectively. Amputation was performed for 82.36% of patients who were admitted to hospital with gangrene. The Lower Extremity Amputation (LEA) and mortality rates were 14.11% and 40.93%, respectively. Conclusion: DFUs were found to have a relatively high prevalence among T2DM patients, and must never be neglected due to the high associated mortality rate.
format	article
author	Arisvia Sukma Hariftyani Hermina Novida Mouli Edward
author_facet	Arisvia Sukma Hariftyani Hermina Novida Mouli Edward
author_sort	Arisvia Sukma Hariftyani
title	Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia
title_short	Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia
title_full	Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia
title_fullStr	Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia
title_full_unstemmed	Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia
title_sort	profile of diabetic foot ulcer patients at tertiary care hospital in surabaya, indonesia
publisher	Universitas Airlangga
publishDate	2021
url	https://doaj.org/article/33e22d4ec0fa4dbe8fdcded2fbad85d7
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Profile of Diabetic Foot Ulcer Patients at Tertiary Care Hospital in Surabaya, Indonesia

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