Burden of diabetes mellitus foot ulcer in a Nigerian tertiary hospital

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Okunowo, B.O
Odeniyi, I.A
Fasanmade, O.A
Iwuala, S.O
Ohwovoriole, A.E
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Nigerian chapter of American Association of Clinical Endocrinologists
Background Foot complications in people living with diabetes mellitus can present in a variety of ways. It is responsible for major economic and financial burdens both to the patient, and the community at large. Objective The objective of this study was to assess the burden and outcomes of diabetic foot ulcerations in Nigerians admitted into a tertiary hospital. Method Two years, 2014 and 2015 inpatient records of diabetes mellitus (DM) patients admitted into the medical wards of the Lagos University Teaching Hospital (LUTH) in south-western Nigeria were reviewed. The following data were obtained from the records - age and sex of patients, indication for admission, duration of stay in the hospital, and outcome of inpatient management. Regarding outcome, 143 (56.7%) of the patients had complete data for analysis and these constituted a group for sub-analysis. Data management and statistical analyses were entered into Microsoft excel and cleaned up. Analyses were carried out using SPSS 22. Descriptive statistics were presented as mean and standard deviation while inferential statistics as student t-test. Results were presented as tables, figures, and tests. Results During the period under review, 2232 patients were admitted into the medical wards of the hospital. Out of these, 252 (11.3%) were diabetic patients of which 108(42.9%) were males and 144(57.1%) were females. Of the 252 patients, 143 had full data and they are further analyzed for the outcome of admission. The average ages of the males and females were similar. Seventy-five (52.4%) patients were admitted on account of diabetic foot ulcers. The mean duration of admission for DMFS was 65days. Diabetes mellitus foot ulceration accounted for the highest case fatality and discharged against medical advice in the two-year period. Conclusion Diabetic foot ulcers are preventable complications of diabetes mellitus, which appear to constitute the main indications for admission of DM patients in LUTH. Case fatality rate associated with diabetic foot ulceration admissions was unacceptably high. There is a need for more advocacy on foot care.
Scholarly articles
Diabetes mellitus , Inpatient , Admission , Tertiary hospital , Nigerians , Research Subject Categories::MEDICINE
Okunowo, BO, Odeniyi IA, Fasanmade OA, Iwuala SO, Ohwovoriole AE. Burden of diabetes mellitus foot ulcer in a Nigerian tertiary hospital. Book of abstracts of the AACE Nigeria 2017