We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
RISQUE PODOLOGIQUE CHEZ LES PATIENTS DIABETIQUES DANS UN CENTRE DE SANTE DE REFERENCE DE BAMAKO.
- Authors
Traoré, D.; Drago, A. A.; Nientao, I. A.; Sow, D. S.; Menta, I.; Sidibé, A. T.
- Abstract
Purpose: To identify risk factors for achievement of diabetic foot health center of reference of the joint I Bamako. Methodology: This was a prospective descriptive study of October 2009 to March 2010 at CSref I. The sampling was complete after interrogation, physical and para-clinical examination data were collected, analyzed. The statistical test used was the chi 2 with a significance level p ⩽ 0.05. Results: Among the 232 diabetic patients collected female predominance was clear: sex ratio 0.36 with a mean age of 53.03 ± 11.75 years. Physically 58.20% of patients were overweight or obese with diabetes lasting for 5 years in 65.5%. Diabetes was type 2 in 96.1% of cases. The foot lesions were discoverable mode of diabetes in 12.1%. 65.9% of patients experiencing recommendations and foot hygiene but more than half do not practice or just 59.1%. During the study, among the risk factors direct the peripheral sensory neuropathy was more common in the 67.7% and was correlated with patient age significant: p = 0.001, with the duration of the evolution diabetes P = 0.005, with the existence of dyslipidemia: p = 0.003 and with poor glycemic p = 0.002. The foot deformity existed in 11.6% and type of flat foot, d-hammer toes and Charcot foot. 15.1% of patients had arterial disease that were significantly correlated with the age of patients: p = 0.007, disease duration of diabetes: p = 0.002, poor glycemic control: p = 0.001. Venous bad state exists in 10.34% followed by smoking and alcoholism, respectively 3.88% and 1.29%. Among the lesions found foot, cracks were in 1st place with 22.84% associated or not with other lesions. 1.29% of patients had gangrene. 29.70% of patients had a risk of foot problems in grade 0 70.30% to 10.80% in grade 1 and grade 3 in 9.10%. Conclusion: Our diabetic patients had grade 0 in two thirds of cases. The implementation of a program of prevention and early treatment of diabetic foot will often decreased podiatric source of disability risk.
- Publication
Mali Médical, 2014, Vol 29, Issue 4, p14
- ISSN
0464-7874
- Publication type
Article