Original Research

Risk of Diabetic Foot Ulcer in Patients of Diabetes Mellitus Visiting a Private Setting of South Punjab, Pakistan

Qazi Masroor Ali1
Aleena Hospital, Bahawalpur
Saba Anjum2
Shahida Islam Teaching Hospital, Lodhran
Sadaf Shafique3
Bahawal Victoria Hospital, Bahawalpur
Hareem Hamza4
Royal Alex Hospital, Canada
Ali Imran5
Quaid-e-Azam Medical College, Bahawalpur
Raheel Khan3
Bahawal Victoria Hospital, Bahawalpur
Muhammad Sohail Tariq3
Bahawal Victoria Hospital, Bahawalpur
Maria Masroor6
Shaikh Zayed Hospital, Rahim Yar Khan
Hafiz Muhammad Kaleem Ullah
Ghulam Muhy-u-Din Chaudhary7
Nishtar Medical University, Multan

✉ Correspondence: Qazi Masroor Ali Email: masroorqazi@outlook.com

DOI https://doi.org/10.70302/jpsim.v3i4.2260
Volume: 3, Issue 4 Pages: 301–305 Published: 18 Dec 2022
Received: 10 Aug 2022 Accepted: 26 Sep 2022 Published Online: 18 Dec 2022

Abstract

Objective

To evaluate the risk of diabetic foot ulcer (DFU) among diabetes mellitus (DM) patients visiting outpatient department of a private healthcare setting.

Methodology

A cross-sectional study performed at the outpatient department of medicine, Aleena Hospital, Bahawalpur, Pakistan from 1st July 2021 to 30th June 2022. We included patients of both genders aged above 18 years and known cases of DM with disease duration of ≥ 6 months. Medical record was checked while clinical history was taken and foot examination was performed.

Results

In a total of 781 patients, 394 (50.4%) were female. The mean age, weight, height and BMI were 50.19±12.21 years, 74.08±16.41 kg, 5.52±0.31 feet and 30.80±7.07 kg/m2 respectively. Residential status of 498 (63.8%) patients was rural. There were 778 (99.6%) cases that had type-2 DM (T2DM). There were 443 (56.7%) patients who had no risk for DFU while neuropathy, PAD/foot deformity and neuropathy + PAD/foot deformity were identified among 205 (26.2%0, 97 (12.4%) and 36 (4.6%) patients respectively. Increasing age (p<0.001), residential status as rural (p=0.025), higher BMI (p=0.006), increased disease duration of DM (p=0.002), hypertension (p=0.050) and smoking (p=0.006) were found to have significant association with risk of DFU.

Conclusion

High proportion of DM patients were at risk of DFU. Increasing age, rural residential status, higher BMI, increased disease duration of DM, hypertension and smoking had significant association with the risk of DFU.

Keywords
Diabetic foot ulcer glycemic control hypertension smoking

How to Cite This Article

Ali QM, Anjum S, Shafique S, Hamza H, Imran A, Khan R, et al.. Risk of Diabetic Foot Ulcer in Patients of Diabetes Mellitus Visiting a Private Setting of South Punjab, Pakistan. J Pak Soc Intern Med. 2022;3(4):301–305. doi:10.70302/jpsim.v3i4.2260

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

Data Availability

Data are available from the corresponding author on reasonable request.

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