E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer

G Thulasikumar, S Vijayasarathy.

Abstract
INTRODUCTION
Diabetic foot ulcer(DFU) is very common yet challenging complication of diabetes worldwide. These ulcers are biologically compromised majorly by ischemia and neuropathy. Ischemia has gained recognition as a significant cause of DFU.
The association of peripheral arterial disease(PAD) largely impacts the treatment outcomes of DFU in terms of ulcer healing, lower limb amputations and mortality. The burden of PAD in DFU in South Indian population has not been assessed adequately in the recent years. A multidisciplinary approach to DFU and prompt diagnosis of ischemia will decrease the loss of limb and life.
OBJECTIVE
The objective of the study was to assess the peripheral arterial disease and associated risk factors in patients with diabetic foot ulcer.
METHODS
A total of 100 patients were evaluated in this study. The patients were subjected to detailed history and clinical examination which included distal pulse assessment, ankle-brachial index(ABI) and duplex scan to evaluate PAD. The data was subjected to statistical analysis to find out association between parameters of interest.
RESULTS
The prevalence of PAD in DFU was found to be 36%. It was more prevalent in males and in age>40 years and higher with increasing age. PAD was associated almost equally with plantar and dorsal ulcers, more often whole of foot was involved. There is significant association of PAD with longer diabetic duration(p<0.0001) with mean disease duration of 10 years.

CONCLUSION
Previous studies aimed to study prevalence of PAD in diabetes irrespective of foot ulcer. The present study analyzed various factors coexisting with DFU and PAD. The results conclude that peripheral arterial disease is a potential risk factor for major limb amputations.

Key words: Diabetic foot ulcer, peripheral arterial disease, ischemia, ankle brachial index


 
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How to Cite this Article
Pubmed Style

G Thulasikumar, S Vijayasarathy. Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. Int J Surg Med. 2017; 3(3): 156-166. doi:10.5455/ijsm.diabetic-foot-ulcer-pad


Web Style

G Thulasikumar, S Vijayasarathy. Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. http://www.ejos.org/?mno=268098 [Access: February 20, 2019]. doi:10.5455/ijsm.diabetic-foot-ulcer-pad


AMA (American Medical Association) Style

G Thulasikumar, S Vijayasarathy. Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. Int J Surg Med. 2017; 3(3): 156-166. doi:10.5455/ijsm.diabetic-foot-ulcer-pad



Vancouver/ICMJE Style

G Thulasikumar, S Vijayasarathy. Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. Int J Surg Med. (2017), [cited February 20, 2019]; 3(3): 156-166. doi:10.5455/ijsm.diabetic-foot-ulcer-pad



Harvard Style

G Thulasikumar, S Vijayasarathy (2017) Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. Int J Surg Med, 3 (3), 156-166. doi:10.5455/ijsm.diabetic-foot-ulcer-pad



Turabian Style

G Thulasikumar, S Vijayasarathy. 2017. Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. International Journal of Surgery and Medicine, 3 (3), 156-166. doi:10.5455/ijsm.diabetic-foot-ulcer-pad



Chicago Style

G Thulasikumar, S Vijayasarathy. "Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer." International Journal of Surgery and Medicine 3 (2017), 156-166. doi:10.5455/ijsm.diabetic-foot-ulcer-pad



MLA (The Modern Language Association) Style

G Thulasikumar, S Vijayasarathy. "Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer." International Journal of Surgery and Medicine 3.3 (2017), 156-166. Print. doi:10.5455/ijsm.diabetic-foot-ulcer-pad



APA (American Psychological Association) Style

G Thulasikumar, S Vijayasarathy (2017) Assessment of prevalence and risk factors of peripheral arterial disease in diabetic foot ulcer. International Journal of Surgery and Medicine, 3 (3), 156-166. doi:10.5455/ijsm.diabetic-foot-ulcer-pad