The Clinical Observations in Diabetic Patients with Foot Ulcer

Ku, Bon Jeong; Choi, Dae Eun; Jeong, Jin Ok; Rha, So Young; Lee, Hyo Jin; Hong, Woo Jeong; Kim, Koon Soon; Jo, Young Suk; Kim, Do Hee; Shong, Min Ho; Ro, Heung Kyu; ,

Focused Issue

Diabetes Monit 2002;3(3):244-252.

당뇨병성 족부궤양의 임상적 관찰

구본정, 최대은, 정진옥, 나소영, 이효진, 홍우정, 김군순, 조영석, 김도희, 송민호, 노흥규, 김영

The Clinical Observations in Diabetic Patients with Foot Ulcer

Bon Jeong Ku, Dae Eun Choi, Jin Ok Jeong, So Young Rha, Hyo Jin Lee, Woo Jeong Hong, Koon Soon Kim, Young Suk Jo, Do Hee Kim, Min Ho Shong, Heung Kyu Ro,

Abstract

Background
: The diabetes mellitus is increasing now. So chronic complication of diabetes is being a big problem in the world. The Diabetic foot ulcer is one of the serious chronic complication because they can cause lower limb amputation. Prevention and prompt treatment is important in management of diabetic foot ulcer. We plan to study to evaluate clinical characteristics and to help the making a prevention policy and treatment plan in diabetic patients with foot ulcer. Methods : We reviewed medical record and checked the results of bacteriologic culture, angiography, and bone scan in diabetic patient with foot ulcer admitted to CNUH during last one year. Results : 1. Diabetic foot ulcers were occurred most frequently in 7th decades of age (38.4%) and more prevalently in man (79.5%). 2. The mean disease duration of diabetes who had a foot ulcer was about 14.6 years. 3. The most common causative event of diabetic foot ulcer was unknown (72.6%). 4. Wound culture was done in 53 (72.6%) diabetic patients with foot ulcer and the most common organism was Staphylococcus. 5. We graded diabetic foot ulcer by Wagner grading system and most common ulcer was grade 3(41.4%). 6. We was treated medically in 63(86.3%) patients and surgically in 9 patients. The duration of hospital stay was longer in surgically(80.4 days) treated patients than in medically(25.1 days). 7. Angiography was done in 20(27.4%) patients and positive result was 80%. 8. 3-phase bone scan was done in 62(84.9%) patients and positive results was 56.5% 9. Risk factors for amputation was ulcer grade and not related to duration of diabetes, angiographic findings and bone scan results. Conclusion : Diabetic foot ulcer is serious disease. Education for foot care and strict glycemic control should be necessary to prevent diabetic foot ulcer.

Key Words: Diabetic foot ulcer, Amputation