Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review

Othman, M. Y. and Fuzi, N M H and Noh, C I and Che Ahmad, Aminudin (2010) Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review. In: 40th Malaysian Orthopaedic Association Annual General Meeting/ Annual Scientific Meeting, 20-22 May 2010, Johor Bahru, Johor.

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Abstract

Objective: To review the presentation and its surgical outcome among diabetic foot patients at Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu, Kelantan. Methodology: This is a prospective study of 35 diabetic foot patients who were admitted to orthopaedic wards of HRPZ II from April to May 2007. Subjects were interview for sensory neuropathy and peripheral vascular disease. The lesion was classified based on Wegner’s and King’s classification. Blood glucose level and HbA1c were reviewed. Subjects were followed up for the surgical outcome. Results: 18 male patient (51.4%) and 17 female patients (48.6%) were involved in the study with men age of 58.4 ± 7.8 yeas old. Most of them are Malay (91.4%, n=32). 33 (94.3) patients were known to have diabetes mellitus with median duration of 12 years (range of 1-30 years). 71.0% (n=22) had significant neuropathy and 12% (n=3) had significant peripheral vascular disease. 51.4% (n=18) were classified in Grade 4 Wegner’s and Stage 5 King’s. Mean glucometer at early presentation was 14.7 ± 5.1 mmol/L and mean random blood glucose was 14.3 ± 8.0 mmol/L. HbA1c results revealed that 82.3% (n=14) of them had HbA1c more 8.0%. 14.3% (n=5) of the patients were planned for major amputation and 25.7% (n=9) were planned for Ray’s amputation. Within the study period, two patients died due to septicaemia. Conclusion: Majority of patients presented at advanced stage problem with poor glucose control. Rate of amputation was 40.0% and 14.3% ended up with major amputation.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	3516/41150
Uncontrolled Keywords:	Diabetic Foot, Sensory neuropathy, Peripheral vascular disease, Major amputation,
Subjects:	R Medicine > R Medicine (General) R Medicine > RD Surgery > RD701 Orthopedics R Medicine > RD Surgery > RD92 Wounds and injuries
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Assoc Prof Dr Aminudin Che Ahmad
Date Deposited:	30 Mar 2015 11:39
Last Modified:	30 Mar 2015 11:39
URI:	http://irep.iium.edu.my/id/eprint/41150

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