Background: The amputation has become a family word at diabetics’ patients. Its frequency is increasing and its physical and psychological sequel decrease the productivity of survivors. The social and professional reinsertions depend on it.
Aim: The study aimed to identify associated factors on diabetic foot amputation and to contribute to life quality of diabetics’ patients in Butembo.
Methods: We conducted a retrospective and descriptive study from November 20th, 2013 to April 20th, 2015 in Butembo, Democratic Republic of Congo. The study concerned known diabetics’ patients and patients with glycaemia on an empty stomach ≥126mg% twice a day according to the WHO criteria with lesion on their members. Kish and Leslie formula was used for determining the sample.
Results: Of the 372 patients enrolled, 95 (25.5%) were amputated in Grade 5 of Wagner. The leg amputation was the most surgery act done among our patients (35.2%). Nicotinism, Alcoholism, age >50 year, diabetes duration >10 years with glycaemia on an empty stomach >300mg, and hypertension (Systolic >140mmHg, Diastolic >90mmHg) were factors incriminated in the amputation at diabetic patients.
Conclusion: Good management of diabetes complications and avoidance of risk factors remain the best solution to prevent amputation at diabetic patients. Diabetic patients must be sensitized for regular medical and surgical visits in order to assess and manage diabetic lesions.
Impact Factor
2022: 6.012
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