ECE2021 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (82 abstracts)
The diabetic foot : a descriptive study
Mouna Elleuch , Rami Mejdoub , Hadj Kacem Faten , Safi Wajdi , El Arbi Kawthar , Trabelsi Ons , Mnif Mouna , Mnif Fatma , Charfi Nadia , Rekik Nabila & Abid Mohamed
UH Hèdi Chaker, Endocrinology and Diabetology, Sfax, Tunisia
Introduction
The diabetic foot represents a public health problem with very important direct and indirect expenses. Multidisciplinary care and monitoring is essential. The aim of this Study was to describe the management of the diabetic foot in the endocrinology department.
Materials and methods
It was a retrospective study carried out in the Endocrinology and Diabetology department of the Hédi Chaker university hospital. It concerned patients with diabetic foot hospitalized between January 2010 and December 2018 regardless of the reason for hospitalization.
Results
Our study covered 130 patients with a mean age of 59 years and a sex ratio of 5 M/1 W. Our population comprised 83.7% of type 2 diabetic including 56.1% under insulin therapy and 16.3% of type 1 diabetic. The impairment was bilateral in 25.4% of cases. The mean duration of diabetes was 13.08 years. The insulin therapy was indicated for 70.8% of patients. We have found ulceration in 24.8% of cases and a perforating foot ulcer in 28% of cases. Neuropathy and arteriopathy were reported in 88.5% and 67% of patients, respectively. The infection was objectified in 42.2% of cases. The lesion recurred in 41.6% of patients. Amputation was reported in 39.1% of cases, of which 29.6% were major. The mortality rate was 4.9%.
Conclusion
Our results highlight the major impact of diabetic foot. Thus, a national care program is essential.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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