Abstract
Background: The goal of this study was to estimate the disease burden of diabetic foot ulcer (DFU) admissions in a tertiary care hospital in a developing country in terms of clinical profile and outcome.
 Method: In this descriptive study, the data were collected from the medical record of diabetic patients with foot ulcer who were treated in Saveetha medical college and hospital between the period of February to November 2020. The demographic characteristic, type of foot lesion, etiology, isolated microorganism, treatment, and outcome were reviewed.
 Results: There were 180 admissions with diabetic foot problems involving 100 patients. All of the patients had type 2 diabetes, and there was no gender bias. The average age was 50, and diabetes control was poor. The majority of patients had no knowledge what had caused their symptoms. In 56 % of cases, ulcers were neuropathic, 25% were neuro ischemic, and a smaller fraction were pure ischemia. More than 70% of ulcers were Wagner grade 3 or higher, with infection occurring in nearly every patient. Gram-negative bacteria were the most prevalent isolates from culture. A total of 30 lower extremity amputations (LEAs) were performed at various levels of the foot.
 Conclusion: Diabetic foot problems are a source of morbidity, a reason for LEA surgery, and a cause of death in people who have diabetes mellitus.
Highlights
Diabetes is one of the most prevalent chronic diseases: according to research, 285 million individuals globally have diabetes, with that number expected to grow to 439 million by 2030 [1]
diabetic foot ulcer (DFU) is a general term for lesions that develop in a diabetic patient's foot, in the anatomical area below the malleoli [12]
An endocrinologist or surgeon will take the lead as a physician in charge and treat the patients in close proximity
Summary
Diabetes is one of the most prevalent chronic diseases: according to research, 285 million individuals globally have diabetes, with that number expected to grow to 439 million by 2030 [1]. A significant change in the population is expected to result in an increase in the prevalence of diabetes chronic complications, those of the lower limb, such as diabetic foot [2]. The yearly population-based incidence of a diabetic foot ulcer (DFU) is estimated to be between 1.0 and 4.1 percent. The goal of this study was to estimate the disease burden of diabetic foot ulcer (DFU) admissions in a tertiary care hospital in a developing country in terms of clinical profile and outcome. Method: In this descriptive study, the data were collected from the medical record of diabetic patients with foot ulcer who were treated in Saveetha medical college and hospital between the period of February to November 2020. Results: There were 180 admissions with diabetic foot problems involving 100 patients. Conclusion: Diabetic foot problems are a source of morbidity, a reason for LEA surgery, and a cause of death in people who have diabetes mellitus
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