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Prevalence and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan

Azmi, Nurul Husna and Abdul Hadi, Azwanis and Md Aris, Mohd Aznan and Nasreen, Hashima E and Che Ahmad, Aminudin (2020) Prevalence and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan. IIUM Medical Journal Malaysia, 19 (3). pp. 11-19. ISSN 1823-4631 E-ISSN 2735-2285

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Abstract

Introduction: The diabetic foot at risk is the diabetic foot which is at risk of ulceration, hence the importance of identifying the foot at this stage. This study aims to assess the prevalence of diabetic foot at risk and its associated factors among type 2 diabetes mellitus patients’ attending primary health clinics in Kuantan. Methods and methods : This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using universal sampling method. Foot examination was carried out and foot at risk was classified based on the Kings’ Classification. Multiple logistic regressions were performed to identify the predictors for diabetic foot at risk. Results: The prevalence of diabetic foot at risk was 31.3%. Multivariate logistic regression analysis identified age (OR 1.04, 95% CI: 1.01-1.06), smoker (OR 4.11, 95% CI: 1.96-8.63) and duration of diabetes more than 10 years (OR1.77, 95% CI: 1.05-2.98) as risk factors for diabetic foot at risk. Respondents with higher diabetic foot practice score (OR 0.87, 95% CI: 0.77-0.98) have lesser risk of developing diabetic foot at risk. Conclusion: Patients who are older, smoker and/or have chronic diabetes are predicted to be at higher risk to develop the diabetic foot at risk. This study also showed that patients with better foot care practice has lesser risk. Therefore, these are the groups of patients that need to be targeted for early detection and intervention to prevent serious complications.

Item Type: Article (Journal)
Additional Information: 6538/83644
Uncontrolled Keywords: Prevalence, Diabetes, Foot at risk, Primary health clinic, Malaysia
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RZ Other systems of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Community Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine
Depositing User: SR NUR FARHANA LATFI
Date Deposited: 15 Oct 2020 08:13
Last Modified: 15 Oct 2020 08:13
URI: http://irep.iium.edu.my/id/eprint/83644

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