Clinical Profile and Prognosis of Diabetes Mellitus Type 2 Patients with Diabetic Foot Ulcers in Chomi Medical and Surgical Clinic, General Santos City, Philippines

摘要

A big percentage of patients with diabetes mellitus type 2 develop diabetic foot ulcers. This complication entails high costs to the patients. This retrospective study determined the clinical profile and prognosis of diabetic patients with foot ulcers in the Chomi Medical and Surgical Clinic (CMSC) in General Santos City. Medical records of 412 patients were reviewed from August 2010 - January 2011. Eighty-two of the patients have diabetes mellitus type 2, 50 of whom have diabetic foot ulcers. A ratio of 1.4 males: 1 female was observed indicating that more males than female were affected.For both genders, the mean age is between the 5th and 6th decade of life with 53 + 12.51 years, most of which belong to the 50-59 age-group. In body mass index (BMI) categorization, majority of the patients belong to the normal and overweight category at 48% and 42%, respectively. Of the 50 patients with diabetic foot ulcers, 39 (78%) had previous diagnosis oftype 2 diabetes mellitus of 2.36 + 1.7 years (range = 0.2 - 7 yrs.) while the other 11 (22%) were walk-in patients and were diagnosed upon the day of consultation. Ulcerations were commonly found in the toes while rarely on the shin. Degrees of wounds were graded according to Wagner's classification. Forty-eight percent (24) of patients had grade 0,26% (13) had grade 1, 16% (8) had grade 2, 6% (3) had grade 4, and4% (2) had grade 5 ulcers. Sixteen (32%) underwent debridement, seven (14%) underwent amputation with five toe disarticulations and two below knee amputation while only one (2%) underwent internal screw fixation. Results indicate that diabetic foot ulcer mostly occurs in patients in the 5th to 6thdecade of life and affects more males than females.