Diabetes complications

Epidemiologic and clinical characteristics of diabetic foot ulcer among patients with diabetes in Afghanistan: An IDF supported initiative

Diabetes Res Clin PractPublished Descriptive study

Authors' conclusion

DFU affects almost one-tenth of diabetics while a significant number of patients attend at late stage requiring orthopedic treatment. Monitoring of diabetic patients to prevent DFU is important is recommended.

Study context

Population
Patients with diabetes admitted to Kabul diabetic medical center (KDMC), Afghanistan, 1/9/2019 to 31/8/2020admitted to KDMC
Participants
3,159 patients
Outcome
Epidemiological and clinical characteristics of patients with DFU
Methodological detailssingle-centre, University of Texas diabetic classification for DFU used
  • Single-centre
  • University of Texas diabetic classification for DFU used

Main finding

As reported in the abstract

Proportion of DFU

Proportion of DFU

9.2%

Further findings

Patient characteristics

Females
47.4%
T2D
96.7%
Mean age (years)
55.4 ± 10.6
From Kabul
78%
Smoking prevalence
8.6%
Snuff use prevalence
5.6%
Housewives among females
93%
Duration of diabetes
5-19 years
History of amputation
9.2%
Almost two-third were under glycaemia and HbA1c control

Clinical features of DFU

Referred for orthopedic procedures after treatment
16%
Common symptoms: burning, aching, numbness and tingling
Most common cause of DFU: both neuropathy and arteriopathy

Original publication

Epidemiologic and clinical characteristics of diabetic foot ulcer among patients with diabetes in Afghanistan: An IDF supported initiative. Diabetes Res Clin Pract. Published 18 December 2022. doi:10.1016/j.diabres.2022.110227

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