Incidence and Risk Factors of Diabetic Foot Ulcer: A Population-Based Diabetic Foot Cohort (ADFC Study)—Two-Year Follow-Up Study
Joint Authors
Cheraghian, Bahman
Yazdanpanah, Leila
Shahbazian, Hajieh
Nazari, Iraj
Arti, Hamid Reza
Ahmadi, Fatemeh
Mohammadianinejad, Seyed Ehsan
Hesam, Saeed
Source
International Journal of Endocrinology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-15
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Aim/Introduction.
This study was carried out to assess the incidence and risk factors of diabetic foot ulcer (DFU).
Materials and Methods.
In this prospective cohort study in a university hospital, all the participants were examined and followed up for new DFU as final outcome for two years.
To analyze the data, the variables were first evaluated with a univariate analysis.
Then variables with P value < 0.2 were tested with a multivariate analysis, using backward-elimination multiple logistic regression.
Results.
Among 605 patients, 39 cases had DFU, so we followed up the remaining 566 patients without any present or history of DFU.
A two-year cumulative incidence of diabetic foot ulcer was 5.62% (95% CI 3.89–8.02).
After analysis, previous history of DFU or amputation [OR = 9.65, 95% CI (2.13–43.78), P value = 0.003], insulin usage [OR = 5.78, 95% CI (2.37–14.07), P value < 0.01], gender [OR = 3.23, 95% CI (1.33–7.83), P value = 0.01], distal neuropathy [OR = 3.37, 95% CI (1.40–8.09), P value = 0.007], and foot deformity [OR = 3.02, 95% CI (1.10–8.29), P value = 0.032] had a statistically significant relationship with DFU incidence.
Conclusion.
Our data showed that the average annual DFU incidence is about 2.8%.
Independent risk factors of DFU development were previous history of DFU or amputation, insulin consumption, gender, distal neuropathy, and foot deformity.
These findings provide support for a multifactorial etiology for DFU.
American Psychological Association (APA)
Yazdanpanah, Leila& Shahbazian, Hajieh& Nazari, Iraj& Arti, Hamid Reza& Ahmadi, Fatemeh& Mohammadianinejad, Seyed Ehsan…[et al.]. 2018. Incidence and Risk Factors of Diabetic Foot Ulcer: A Population-Based Diabetic Foot Cohort (ADFC Study)—Two-Year Follow-Up Study. International Journal of Endocrinology،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1171991
Modern Language Association (MLA)
Yazdanpanah, Leila…[et al.]. Incidence and Risk Factors of Diabetic Foot Ulcer: A Population-Based Diabetic Foot Cohort (ADFC Study)—Two-Year Follow-Up Study. International Journal of Endocrinology No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1171991
American Medical Association (AMA)
Yazdanpanah, Leila& Shahbazian, Hajieh& Nazari, Iraj& Arti, Hamid Reza& Ahmadi, Fatemeh& Mohammadianinejad, Seyed Ehsan…[et al.]. Incidence and Risk Factors of Diabetic Foot Ulcer: A Population-Based Diabetic Foot Cohort (ADFC Study)—Two-Year Follow-Up Study. International Journal of Endocrinology. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1171991
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1171991