The prevalence and determinants of foot ulceration in type II diabetic patients in a primary health care setting.
The purpose of the study was to assess the prevalence of foot (pre-) ulcers and their determinants in type II diabetic patients in a primary health care setting.
Six hundred and nine patients (246 men, mean age 64.8 (range, 40-94) years, diabetes duration, 4.3 (0-44.9) years) from 22 general practices attended a regional shared care project in Amsterdam.
At first visit all patients were examined by a podiatrist.
Amputations, active foot ulcers (Wagner stage 1 or 2) and pre-ulcers (Wagner stage 0, hard skin with or without macerating changes) were recorded in 0 (0%), 11 (1.8%) and 79 (12.9%,) patients, respectively.
In multivariate logistic regression analysis, after adjustment for age and gender, diabetes duration, cigarette smoking, peripheral vascular disease (assessed by calculating ankle/brachial index), sensory neuropathy (by Semmes-Weinstein monofilament 5.07), dry feet and severe hammer toes were independently and significantly associated (pre-) ulceration.
One of every seven type II diabetic patients in primary health care has a foot (pre-) ulcer.
Patients at risk for foot ulceration can be identified by inspection and the use of simple instruments.
Mots-clés Pascal : Neuropathie périphérique, Complication, Pied pathologie, Facteur risque, Diabète non insulinodépendant, Prévalence, Soin santé primaire, Homme, Système nerveux pathologie, Nerf périphérique pathologie, Endocrinopathie
Mots-clés Pascal anglais : Peripheral neuropathy, Complication, Disease of the foot, Risk factor, Non insulin dependent diabetes, Prevalence, Primary health care, Human, Nervous system diseases, Peripheral nerve disease, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0328581
Code Inist : 002B21E01B. Création : 12/09/1997.