Prevalence of diabetic foot ulcer and associated factors among diabetic patient in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Abstract

BackgroundAn estimated 10% of type 2 diabetes mellitus patients have one or two risk factors for foot disease. The life-time risk for DFU among diabetic patients is 15%. Other factors associated with DFU include: barefoot walking, inappropriate footwear, poor foot hygiene and delayed medical care seeking. ObjectiveTo assess the prevalence of diabetic foot ulcer and associated factors among diabetic patients. MethodsA quantitative cross-sectional study was conducted in Tikur Anbessa Specialized Hospital among 198 diabetic patients between April 1st and May 1st 2017. Respondents were selected using simple random sampling method. A structured interviewer guided questionnaire made up of three sections was used to gather information. Data completeness was checked and entered into Epi-Data version 3.1 and exported to SPSS version 22 for analysis. Descriptive statistics including frequencies and percentages were used to describe participants' characteristics and logistic regression involving bivariate and multivariable analysis were carried out to examine association between the independent and outcome variables. Level of significance was determined at p-value <0.05 and 95% CI. ResultThe prevalence of DFU among diabetic patients in the study area was (20.7%). Occupation (AOR = 8.16; 95% CI: 1.2–9.5) and place of residence (AOR = 5.97; 95% CI: 1.47–24.3) were factors significantly associated with DFU. ConclusionThe prevalence of DFU among diabetic patients in this study was (20.7%). Occupation and place of residence were factors associated with DFU. Patient education on foot care may reduce the incidence of DFU.