| Diabetic Heel Ulcer in the Sudan: Determinants of Outcome. | |
| | |
MedLine Citation:
|
PMID: 22078157 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Heel ulceration, on average, costs 1.5 times more than metatarsal ulceration. The aim of this study was to analyze the determinant factors of healing in diabetic patients with heel ulcers and the late outcomes at Jabir Abu Eliz Diabetic Centre Khartoum, Khartoum, Sudan. Data were collected prospectively for 96 of 100 diabetic patients presenting with heel ulcers at the Jabir Abu Eliz Diabetic Centre Khartoum from May 2003 to January 2005. Late outcome was assessed 3 years later (February 2008). Heeling was achieved in one half of the patients (n = 48). In the remaining 48 patients, 22 ended with major lower extremity amputation and 22 were still receiving wound care. A total of 8 patients died, 4 in each group, the healed and unhealed. The most significant determinants of healing using a logistic multivariate regression model, 95% confidence intervals, and odds ratios included a shorter duration of diabetes (p < .009), adequate lower limb perfusion (p < .043), and a superficial foot ulcer (p < .012). Three years later, of the 88 patients who could be traced, 78 were alive and 59 had healed ulcers (7 had died of unrelated causes and 3 of diabetic-related complications), and no additional lower extremity amputation was recorded. Mortality in the series was 18 patients, of whom 14 had undergone a previous lower extremity amputation. Superficial heel ulcers in diabetic patients with a short history of diabetes and with good limb circulation are more likely to heal within an average duration of 25 weeks. At 3 years of follow-up, 75% showed a favorable outcome for ulcer healing, and 22 patients underwent lower extremity amputation (25%), of whom 14 were dead within 3 years. |
| | |
Authors:
|
Haseeb E Bakheit; Mohamed F Mohamed; Seif Eldin I Mahadi; Abu Bakr H Widatalla; Mohamed A Shawer; Amar H Khamis; Mohamed E Ahmed |
Related Documents
:
|
17354257 - Glycemic control is related to the severity of impaired thermal sensations in type 2 di... 82507 - Behavioral ototoxicology. 16799307 - Comparison of clinical evaluation and neurosensory testing in the early diagnosis of su... 11469397 - Slowing of motor nerve conduction velocity in streptozotocin-induced diabetic rats is p... 2180307 - Antenatal diagnosis of sacral agenesis syndrome in a pregnancy complicated by diabetes ... 103767 - Plasma arginine vasopressin in diabetic ketoacidosis. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-11-9 |
Journal Detail:
|
Title: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons Volume: - ISSN: 1542-2224 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-11-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9308427 Medline TA: J Foot Ankle Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Surgeon, Jabir AbuEliz Diabetic Centre, Khartoum, Sudan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Removal of Osteoid Osteoma of the Tibia Using Two-portal Posterior Ankle Arthroscopy.
Next Document: Deep Soft Tissue Leiomyoma Mimicking Fibromatosis in a 5-year-old Male.