Patil Priti, Mishra Satish, Gadgil Anita, Bhandarkar Prashant, Roy Nobhojit, Dwivedi Laxmi K
Department of Statistics, BARC Hospital, Mumbai, Maharashtra, India.
Department of Surgery, BARC Hospital, Mumbai, Maharashtra, India.
Indian J Endocrinol Metab. 2024 Sep-Oct;28(5):494-499. doi: 10.4103/ijem.ijem_346_22. Epub 2023 Jun 30.
Foot ulcer is the most common cause of hospitalisation among people with diabetes (PWD). The objective of the study is to determine the incidence of diabetic foot ulcers (DFUs) in the urban community in India and its relationship with glycemic level and demographic parameters like age and sex among diabetic patients.
A retrospective observational study was performed from January 2016 to December 2018 at an urban community set up in Mumbai. The study was conducted in a healthcare setting, providing lifelong contributory healthcare to beneficiaries of an employees' universal healthcare scheme. PWD from the community was identified using prescriptions of anti-diabetic medications. We identified patients with DFUs from electronic medical records from the hospital information system (HIS). The yearly incidence rate of DFU among PWD was estimated for the study period. The association between glycemic control and the demographic profile of patients with DFU was studied using binary logistic regression.
The study documents the average incidence of 66 DFU patients among 10,000 PWD per year in the community. Logistic regression analysis showed higher odds for the elderly age group (OR 2.863) compared to lower age for developing DFU. Similarly, poor control (HbA1c >7%) over glycemic level has a higher chance (OR 1.713) of DFU than that of optimum glycemic control (HbA1c ≤7%). Among the DFU, 15.29% of patients required amputation during the study period.
The study documents the community-level incidence of DFUs among patients with diabetes. High glycemic levels and elderly age groups (≥60) are the associated risk factors for DFU.
足部溃疡是糖尿病患者住院治疗的最常见原因。本研究的目的是确定印度城市社区中糖尿病足溃疡（DFU）的发病率，以及其与糖尿病患者血糖水平和年龄、性别等人口统计学参数之间的关系。
2016年1月至2018年12月在孟买的一个城市社区进行了一项回顾性观察研究。该研究在一个医疗保健机构开展，为员工全民医疗保健计划的受益人提供终身缴费型医疗保健服务。通过抗糖尿病药物处方识别社区中的糖尿病患者。我们从医院信息系统（HIS）的电子病历中识别出患有DFU的患者。估计了研究期间糖尿病患者中DFU的年发病率。使用二元逻辑回归研究血糖控制与DFU患者人口统计学特征之间的关联。
该研究记录了该社区中每年每10000名糖尿病患者中有66例DFU患者的平均发病率。逻辑回归分析显示，与较低年龄组相比，老年年龄组发生DFU的几率更高（比值比2.863）。同样，血糖水平控制不佳（糖化血红蛋白>7%）的患者发生DFU的几率（比值比1.713）高于血糖控制最佳（糖化血红蛋白≤7%）的患者。在DFU患者中，15.29%的患者在研究期间需要截肢。
该研究记录了糖尿病患者中社区层面DFU的发病率。高血糖水平和老年年龄组（≥60岁）是DFU的相关危险因素。
