STUDY OF DIABETIC FOOT IN AIN SHAMS UNIVERSITY HOSPITALS: RISK CATEGORIZATION AND PREDICTORS

Abstract

The purpose of this review is to screen for the problems of diabetic foot and risk categorize patients and detect predictors of diabetic foot complications in Ain Shams university hospitals. RECENT FINDINGS: Up to 70% of all lower-limb amputations are performed on people with diabetes. Proper screening and risk assessment of diabetic foot problems allows for intervention and patient education eventually lowers the rate of amputation by up to 80%. In our study, the methodology included detailed data concerning diabetes history Full clinical examination including thorough foot exam, relevant lab work-up, screening and Risk categorization through application of the “Scottish Foot Action group risk assessment and stratification tool”. The majority of cases in this study belonged to low risk group with a percentage of 39.8% (n=166) followed by high risk group 28.5% (n=119) then moderate risk group 25.4% (n=106) whereas only 6.2% (n=26) were active cases. Our results identified odds for retinopathy and micro-albuminuria in high risk group was six times the low risk group, also odds for IHD was 11 times the low risk group and odds for stroke was 5 time the low risk group. An odd for having stroke and IHD among active risk group was 3 times the low risk group, also the odds for micro-albuminuria were 8 times the low risk group and odds for retinopathy was 4 times