Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study

Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study

Guesh Teklu Woldemariam,1 Niguse Tadele Atnafu,2 Yosief Tsige Radie,2 Getahun Tarekegn Wolde,3 Teklehaimanot Tesfay Gebreagziabher,1 Tesfay Gebreslassie Gebrehiwot,1 Yared Haileselassie Teka,1 Milete Gebrehiwot Hagos,1 Haftamu Mamo Hagezom,4 Hailu Belay Yigzaw,4 Haftom Tesfay Gebremedhin,4 Hagos Meh...

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Autores principales: Woldemariam GT, Atnafu NT, Radie YT, Wolde GT, Gebreagziabher TT, Gebrehiwot TG, Teka YH, Hagos MG, Hagezom HM, Yigzaw HB, Gebremedhin HT, Mezgebo HM, Gebremariam A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
diabetic foot ulcer
determinants
ethiopia
Specialties of internal medicine
RC581-951
Acceso en línea:https://doaj.org/article/a8c1ffafd1a14747917c8001fa51467d
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id oai:doaj.org-article:a8c1ffafd1a14747917c8001fa51467d
record_format dspace
institution DOAJ
collection DOAJ
language EN
topic diabetic foot ulcer
determinants
ethiopia
Specialties of internal medicine
RC581-951
spellingShingle diabetic foot ulcer
determinants
ethiopia
Specialties of internal medicine
RC581-951
Woldemariam GT
Atnafu NT
Radie YT
Wolde GT
Gebreagziabher TT
Gebrehiwot TG
Teka YH
Hagos MG
Hagezom HM
Yigzaw HB
Gebremedhin HT
Mezgebo HM
Gebremariam A
Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study
description Guesh Teklu Woldemariam,1 Niguse Tadele Atnafu,2 Yosief Tsige Radie,2 Getahun Tarekegn Wolde,3 Teklehaimanot Tesfay Gebreagziabher,1 Tesfay Gebreslassie Gebrehiwot,1 Yared Haileselassie Teka,1 Milete Gebrehiwot Hagos,1 Haftamu Mamo Hagezom,4 Hailu Belay Yigzaw,4 Haftom Tesfay Gebremedhin,4 Hagos Mehari Mezgebo,4 Alem Gebremariam5 1Department of Nursing, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 3Tikur Anbessa Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia; 4Department of Psychiatry, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia; 5Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Tigrai, EthiopiaCorrespondence: Guesh Teklu WoldemariamDepartment of Nursing, College of Medicine and Health Sciences, Adigrat University, Postal Address: 50, Tigrai, EthiopiaTel +251940304140Email gueshomt21@gmail.comBackground: Diabetic foot ulcer is among the commonest complications of diabetic mellitus attributed to a number of morbidity and mortality cases in diabetic patients. Nowadays, the incidence of diabetic foot ulcer is increasing due to the increased prevalence of diabetes. However, the risk factors of the problem are less studied in Ethiopia. Hence, this study was conducted to assess the determinants of diabetic foot ulcer among adult patients with diabetes attending a diabetic clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia in 2019.Patients and Methods: An institution-based unmatched case–control study was conducted on 161 patients with diabetes (53 patients with diabetes with foot ulcer and 108 patients with diabetes without foot ulcer). Cases were selected from patients with diabetes with foot ulcer by consecutive sampling technique and controls from patients with diabetes without diabetic foot ulcer by systematic random sampling technique. A binary logistic regression model was used to assess the association between the dependent and independent variables. All variables with a P-value< 0.25 were included in the multivariable analysis. Statistical significance was declared at P-value< 0.05 with 95% confidence interval.Results: In this study, 28 (52.8%) cases and 55 (50.9%) controls were male. Taking insulin alone (AOR=2.75, 95% CI=1.04– 7.23), having peripheral neuropathy (AOR=7.56, 95% CI=2.82– 20.24), not inspecting feet daily (AOR=5.61, 95% CI=2.24– 14.05), and using moisturizing cream between toes (AOR=3.35, 95% CI=1.35– 8.32) were positively associated with diabetic foot ulcer, whereas employed (AOR=0.35, 95% CI=0.14– 0.87) and combined treatment (insulin and oral hypoglycemic agents) (AOR=0.11, 95% CI=0.02– 0.57) were negatively associated with diabetic foot ulcer.Conclusion: Diabetic foot ulcer was significantly associated with occupation, kind of treatment of diabetes mellitus taking, peripheral neuropathy, inspecting feet daily, and putting moisturizing cream between toes. It will be helpful if diabetic patients inspect their feet on a daily basis and do not put moisturizing cream between their toes.Keywords: diabetic foot ulcer, determinants, Ethiopia
format article
author Woldemariam GT
Atnafu NT
Radie YT
Wolde GT
Gebreagziabher TT
Gebrehiwot TG
Teka YH
Hagos MG
Hagezom HM
Yigzaw HB
Gebremedhin HT
Mezgebo HM
Gebremariam A
author_facet Woldemariam GT
Atnafu NT
Radie YT
Wolde GT
Gebreagziabher TT
Gebrehiwot TG
Teka YH
Hagos MG
Hagezom HM
Yigzaw HB
Gebremedhin HT
Mezgebo HM
Gebremariam A
author_sort Woldemariam GT
title Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study
title_short Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study
title_full Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study
title_fullStr Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study
title_full_unstemmed Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study
title_sort determinants of diabetic foot ulcer among adult patients with diabetes attending the diabetic clinic in tikur anbessa specialized hospital, addis ababa, ethiopia: unmatched case–control study
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/a8c1ffafd1a14747917c8001fa51467d
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spelling oai:doaj.org-article:a8c1ffafd1a14747917c8001fa51467d2021-12-02T13:02:53ZDeterminants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case–Control Study1178-7007https://doaj.org/article/a8c1ffafd1a14747917c8001fa51467d2020-10-01T00:00:00Zhttps://www.dovepress.com/determinants-of-diabetic-foot-ulcer-among-adult-patients-with-diabetes-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Guesh Teklu Woldemariam,1 Niguse Tadele Atnafu,2 Yosief Tsige Radie,2 Getahun Tarekegn Wolde,3 Teklehaimanot Tesfay Gebreagziabher,1 Tesfay Gebreslassie Gebrehiwot,1 Yared Haileselassie Teka,1 Milete Gebrehiwot Hagos,1 Haftamu Mamo Hagezom,4 Hailu Belay Yigzaw,4 Haftom Tesfay Gebremedhin,4 Hagos Mehari Mezgebo,4 Alem Gebremariam5 1Department of Nursing, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 3Tikur Anbessa Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia; 4Department of Psychiatry, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia; 5Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Tigrai, EthiopiaCorrespondence: Guesh Teklu WoldemariamDepartment of Nursing, College of Medicine and Health Sciences, Adigrat University, Postal Address: 50, Tigrai, EthiopiaTel +251940304140Email gueshomt21@gmail.comBackground: Diabetic foot ulcer is among the commonest complications of diabetic mellitus attributed to a number of morbidity and mortality cases in diabetic patients. Nowadays, the incidence of diabetic foot ulcer is increasing due to the increased prevalence of diabetes. However, the risk factors of the problem are less studied in Ethiopia. Hence, this study was conducted to assess the determinants of diabetic foot ulcer among adult patients with diabetes attending a diabetic clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia in 2019.Patients and Methods: An institution-based unmatched case–control study was conducted on 161 patients with diabetes (53 patients with diabetes with foot ulcer and 108 patients with diabetes without foot ulcer). Cases were selected from patients with diabetes with foot ulcer by consecutive sampling technique and controls from patients with diabetes without diabetic foot ulcer by systematic random sampling technique. A binary logistic regression model was used to assess the association between the dependent and independent variables. All variables with a P-value< 0.25 were included in the multivariable analysis. Statistical significance was declared at P-value< 0.05 with 95% confidence interval.Results: In this study, 28 (52.8%) cases and 55 (50.9%) controls were male. Taking insulin alone (AOR=2.75, 95% CI=1.04– 7.23), having peripheral neuropathy (AOR=7.56, 95% CI=2.82– 20.24), not inspecting feet daily (AOR=5.61, 95% CI=2.24– 14.05), and using moisturizing cream between toes (AOR=3.35, 95% CI=1.35– 8.32) were positively associated with diabetic foot ulcer, whereas employed (AOR=0.35, 95% CI=0.14– 0.87) and combined treatment (insulin and oral hypoglycemic agents) (AOR=0.11, 95% CI=0.02– 0.57) were negatively associated with diabetic foot ulcer.Conclusion: Diabetic foot ulcer was significantly associated with occupation, kind of treatment of diabetes mellitus taking, peripheral neuropathy, inspecting feet daily, and putting moisturizing cream between toes. It will be helpful if diabetic patients inspect their feet on a daily basis and do not put moisturizing cream between their toes.Keywords: diabetic foot ulcer, determinants, EthiopiaWoldemariam GTAtnafu NTRadie YTWolde GTGebreagziabher TTGebrehiwot TGTeka YHHagos MGHagezom HMYigzaw HBGebremedhin HTMezgebo HMGebremariam ADove Medical Pressarticlediabetic foot ulcerdeterminantsethiopiaSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 3739-3747 (2020)

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