Evaluation of Prognostic Risk Factors in Patients with Diabetic Foot Ulcers Admitted to Sayyad Shirazi Hospital in Gorgan during ۲۰۱۸-۲۰۲۰

Introduction: Diabetes mellitus (DM) is one of the most common diseases in the world and diabetic foot ulcer (DFU) is one of the main causes of mortality and morbidity. This study was done for the evaluation of prognostic risk factors in hospitalized patients with DFU. Material and Methods: In this cross-sectional study, the records of all patients with DFU referred to Sayyad Shirazi Hospital in Gorgan during ۲۰۱۸-۲۰۲۰ were reviewed to determine the demographic characteristics, paraclinical findings, and clinical features. All information of patients was entered into the checklist. Frequency, percentage, mean± standard deviation (SD) were used to describe the data. Chi-square and ANOVA tests were used to investigate the relationship between each. SPSS software version ۲۰ was used for data analysis. Results: In this study ۳۷۹ patient with DFU were studied that ۵۴.۱% were female. ۶۲.۳% of patients were in the age group of ۴۵ -۶۵ years.  In these patients, ۶۴.۹% had hypertension and ۳۷.۷% had cardiovascular disease. ۶.۸% and ۲۱.۲% were smokers and drug addicts, respectively and ۱۷.۷% had history of lower limb amputation .۷۶% of patient had grade ۲ and ۳ Wagner’s DFUs. According to the statistical analysis, there was no significant relationship between insulin treatment, smoking and opium use, and patient's age with the final outcome of discharge. The chi-square test showed the relationship between white blood cells (WBCs) erythrocyte sedimentation rate (ESR) level and final outcome. Conclusion: DFU prognosis may be related to WBC and ESR, grading of DFU, and history of lower limb amputation.

کلیدواژه ها:

Diabetes Mellitus ، Diabetic Foot Ulcer ، Risk Factors