Abstract
Abstract: Diabetic foot is a complication of diabetes mellitus which is characterized by ulceration in the legs. The severity of the diabetic foot can be determined by the Wagner-Meggit system which in this study uses 5 categories namely degrees 1 - 5 degrees. ABI (Ankle-Brachial Index) is an evaluation of peripheral arterial disease in diabetic foot patients. LDL is the main factor of atherosclerosis which causes macrovascular disorders in diabetic foot. The purpose of this study was to determine the correlation between ABI and LDL on the severity of diabetic foot based on the Wagner-Meggit classification. The method used is observational analytic with cross sectional approach. A total of 35 samples were obtained by consecutive sampling. Data analysis was performed using the Spearman test and logistic regression. A significant correlation was obtained between ABI and the severity of diabetic foot (p = 0.06; r = -0.424), there was no correlation between LDL and the severity of diabetic foot (p = 0.09; r = -0.395). The results of logistic regression analysis found no correlation between ABI (p = 0.163; OR = 0.008) and LDL (p = 0.69; OR = 0.984) with the severity of the diabetic foot. Obtained Negelkerke R Square value of 0.095. Keywords: Diabetic foot, ABI, LDL, Wagner-Meggit classification
Highlights
IntroductionDiabetic foot ulcer is a chronic wound in the area below the ankle, which increases morbidity, mortality, and reduces the quality of life of patients
Diabetic foot with ulcers is a common complication of diabetes
On the basis of the theory of this study explained this can occur due to several things such as joint mobility in men who are lower and selfcare habits in women which is very influential on the incidence of diabetes feet.[10]
Summary
Diabetic foot ulcer is a chronic wound in the area below the ankle, which increases morbidity, mortality, and reduces the quality of life of patients. Diabetic foot ulcers are caused by peripheral neuropathy, peripheral arterial disease, or a combination of both.[1]. According to research by Fajar Apriansyah in 2014 it was found that the number of diabetic foot patients in Ulin General Hospital Banjarmasin each year had increased; based on the number of visits in 2011 there were 1468 people, in 2012 there were 2194 people, in 2013 there were 2892 people, and in 2014 there were 2704 people until October.[3]. In several studies found that the measurement results are useful in early detection of peripheral arterial disease and an indicator of general atherosclerosis which is believed to be one of the pathogenicity of diabetes feet.[5]
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