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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Diabetic Heel Ulcer in the Sudan: Determinants of Outcome
Journal of Foot and Ankle Surgery, Volume 51, No. 2, Year 2012
Notification
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Description
Heel ulceration, on average, costs 1.5 times more than metatarsal ulceration. The aim of this study was to analyze the determinant factors of healing in diabetic patients with heel ulcers and the late outcomes at Jabir Abu Eliz Diabetic Centre Khartoum, Khartoum, Sudan. Data were collected prospectively for 96 of 100diabetic patients presenting with heel ulcers at the Jabir Abu Eliz Diabetic Centre Khartoum from May 2003 to January 2005. Late outcome was assessed 3 years later (February 2008). Heeling was achieved in one half of the patients (n = 48). In the remaining 48 patients, 22 ended with major lower extremity amputation and 22 were still receiving wound care. A total of 8 patients died, 4 in each group, the healed and unhealed. The most significant determinants of healing using a logistic multivariate regression model, 95% confidence intervals, and odds ratios included a shorter duration of diabetes (p<.009), adequate lower limb perfusion (p<.043), and a superficial foot ulcer (p<.012). Three years later, of the 88 patients who could be traced, 78were alive and 59 had healed ulcers (7 had died of unrelated causes and 3 of diabetic-related complications), and no additional lower extremity amputation was recorded. Mortality in the series was 18 patients, of whom 14 had undergone a previous lower extremity amputation. Superficial heel ulcers in diabetic patients with a short history of diabetes and with good limb circulation are more likely to heal within an average duration of 25 weeks. At 3 years of follow-up, 75% showed a favorable outcome for ulcer healing, and 22 patients underwent lower extremity amputation (25%), of whom 14 were dead within 3 years. © 2012 American College of Foot and Ankle Surgeons.
Authors & Co-Authors
Bakheit, Haseeb E.
Sudan, Khartoum
Jabir Abu Eliz Diabetic Centre.
Mohamed, Mohamed F.
Sudan, Khartoum
Jabir Abu Eliz Diabetic Centre.
Mahadi, Seif Ibrahim
Sudan, Khartoum
Jabir Abu Eliz Diabetic Centre.
Sudan, Khartoum
Khartoum University
Widatalla, Abu H.
Sudan, Khartoum
Jabir Abu Eliz Diabetic Centre.
Sudan, Khartoum
Bashayer Hospital
Shawer, Mohamed A.G.
Sudan, Khartoum
Jabir Abu Eliz Diabetic Centre.
Sudan, Khartoum
Soba University Hospital
Khamis, Amar Hasan
Sudan, Khartoum
Khartoum University
Ahmed, Mohammed Elmakki
Sudan, Khartoum
Jabir Abu Eliz Diabetic Centre.
Sudan, Khartoum
Khartoum University
Statistics
Citations: 24
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1053/j.jfas.2011.10.032
ISSN:
10672516
e-ISSN:
15422224
Research Areas
Noncommunicable Diseases
Study Design
Cohort Study
Study Locations
Sudan