Int J Angiol 2012; 21(04): 213-216
DOI: 10.1055/s-0032-1330230
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Screening of Diabetic Foot in Surgical Inpatients: A Hospital-Based Study in Saudi Arabia

Mohamed A. Elsharawy
1   Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia
,
Khairi Hassan
1   Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia
,
Naif AlAwad
1   Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia
,
Ali Kredees
1   Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia
,
Abdelmohsen Almulhim
1   Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia
› Author Affiliations
Further Information

Publication History

Publication Date:
20 November 2012 (online)

Abstract

Previous reports found that identification of diabetic patients at high risk of foot ulcers, and managing the risk factors early, lower extremity amputations could be prevented. The aim of this study is to determine the value of screening diabetics in estimating the risk of foot ulceration among surgical inpatients. This is a prospective study on all diabetic patients admitted to the surgical department, King Fahd Hospital of the University, Saudi Arabia, during the year 2011. Patients were screened for the presence of diabetic foot. They were classified according to the international working group on the diabetic foot into four grades [0 (lowest risk patients), 1, 2, 3 (highest risk patients)]. During the study period, 391 patients had diabetes mellitus (DM), of these 73 (19%) had active ulcer and were excluded from the study and the rest were screened. Grade 0 was in 174 (54.5%) patients, the rest were grades 1, 2, and 3. There was significant difference between low-risk groups (grades 0, 1) and high-risk groups (grades 2, 3) as regards age, smoking and duration of DM. This study indicates that prevalence of diabetic patients with risk of foot ulceration in surgical inpatients was high. Routine screening of diabetic foot is recommended specially in old patients.

 
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