Elsharawy Mohamed A, Hassan Khairi, Alawad Naif, Kredees Ali, Almulhim Abdelmohsen
Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia.
Int J Angiol. 2012 Dec;21(4):213-6. doi: 10.1055/s-0032-1330230.
Previous reports found that identification of diabetic patients at high risk of foot ulcers, and managing the risk factors early, lower extremity amputations could be prevented. The aim of this study is to determine the value of screening diabetics in estimating the risk of foot ulceration among surgical inpatients. This is a prospective study on all diabetic patients admitted to the surgical department, King Fahd Hospital of the University, Saudi Arabia, during the year 2011. Patients were screened for the presence of diabetic foot. They were classified according to the international working group on the diabetic foot into four grades [0 (lowest risk patients), 1, 2, 3 (highest risk patients)]. During the study period, 391 patients had diabetes mellitus (DM), of these 73 (19%) had active ulcer and were excluded from the study and the rest were screened. Grade 0 was in 174 (54.5%) patients, the rest were grades 1, 2, and 3. There was significant difference between low-risk groups (grades 0, 1) and high-risk groups (grades 2, 3) as regards age, smoking and duration of DM. This study indicates that prevalence of diabetic patients with risk of foot ulceration in surgical inpatients was high. Routine screening of diabetic foot is recommended specially in old patients.
先前的报告发现，识别足部溃疡高危糖尿病患者并尽早控制危险因素，可预防下肢截肢。本研究的目的是确定对糖尿病患者进行筛查在评估外科住院患者足部溃疡风险方面的价值。这是一项对2011年期间入住沙特阿拉伯法赫德国王大学医院外科的所有糖尿病患者进行的前瞻性研究。对患者进行糖尿病足筛查。根据糖尿病足国际工作组将他们分为四个等级[0（风险最低的患者）、1、2、3（风险最高的患者）]。在研究期间，391例患者患有糖尿病（DM），其中73例（19%）有活动性溃疡，被排除在研究之外，其余患者接受筛查。174例（54.5%）患者为0级，其余为1、2和3级。低风险组（0级、1级）和高风险组（2级、3级）在年龄、吸烟情况和糖尿病病程方面存在显著差异。本研究表明，外科住院患者中存在足部溃疡风险的糖尿病患者患病率较高。建议对糖尿病足进行常规筛查，尤其是老年患者。
