Published: 2018-09-22

Prevalence and risk factors of diabetic foot ulcer at a tertiary care hospital among diabetic patients

Manohar Shankarrao Chavan


Background: Foot ulceration is preventable, and relatively simple interventions can reduce amputations by up to 80%. The objective of the present research was to study the prevalence and risk factors of diabetic foot ulcer among diabetic patients  

Methods: Present study was hospital based cross sectional study carried out at outpatient department of General Medicine for a period of January 2018 to June 2018 among 200 diabetic patients. All eligible patients willing to participate were included in the present study. Diabetic foot ulcer was diagnosed as per the standard criteria and based on the physician acumen. An attempt was made to identify the risk factors like smoking etc. The diagnosed patient was given appropriate treatment.

Results: Males were more than females. majority of the patients were found in the age group of 51-60 years (35.5%). Majority of the diabetic patients were from rural area i.e. 84.5%. Majority were illiterate i.e. 69%. 21.5% were found to be smokers. 40% were using alcohol regularly. 36.5% were overweight and 14% were obese. Prevalence of diabetic foot ulcer among diabetic patients was found to be 16%. Age, residence, literacy, duration of diabetes and obesity were not found to be significantly associated with DFU. Diabetic foot ulcer was found to be significantly associated with being male, tobacco chewers, tobacco chewers + smokers, alcoholics, smokers + alcoholics, Family history of diabetes, and insulin users.

Conclusions: Prevalence of diabetic foot ulcer among diabetic patients was very high. Tobacco use, alcohol use, mixed of tobacco and alcohol use, and family history of diabetes were significant risk factors for diabetic foot ulcer.


Alcohol, Diabetic foot ulcer, Smokers

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Ramachandran A, Ma RCW, Snehalatha C. Diabetes in Asia. Lancet. 2010 Jan 30;375(9712):408-18.

Shankhdhar K, Shankhdhar LK, Shankhdhar U, Shankhdhar S. Diabetic foot problems in India: an overview and potential simple approaches in a developing country. Curr Diab Rep. 2008 Dec 1;8(6):452-7.

Viswanathan V, Shobhana R, Snehalatha C, Seena R, Ramachandran A. Need for education on footcare in diabetic patients in India. J Assoc Physicians India. 1999 Nov;47(11):1083-5.

Shobhana R, Rama Rao P, Lavanya A, Viswanathan V, Ramachandra A. Cost burden to diabetic patients with foot complications-a study from southern India. JAPI. 2000;48(12):1147-50.

Harrington C, Zagari MJ, Corea J, Klitenic J. A cost analysis of diabetic lower-extremity ulcers. Diab Care. 2000 Sep 1;23(9):1333-8.

Croxson S. Diabetes in the elderly: problems of care and service provision. Diab Med. 2002 Jul;19:66-72.

Stumvoll M, Goldstein BJ, van Haeften TW. Type 2 diabetes: principles of pathogenesis and therapy. Lancet. 2005 Apr 9;365(9467):1333-46.

Edelson GW, Armstrong DG, Lavery LA, Caicco G. The acutely infected diabetic foot is not adequately evaluated in an inpatient setting. Journal of the Am Podiatr Med Assoc. 1997 Jun;87(6):260-5.

Charan J, Biswas T. How to calculate sample size for different study designs in medical research?. Indian J Psychol Med. 2013 Apr;35(2):121.

Pemayun TG, Naibaho RM. Clinical profile and outcome of diabetic foot ulcer, a view from tertiary care hospital in Semarang, Indonesia. Diab Foot Ankle. 2017 Jan 1;8(1):1312974.

Wu L, Hou Q, Zhou Q, Peng F. Prevalence of risk factors for diabetic foot complications in a Chinese tertiary hospital. Int J Clin Experimental Med. 2015;8(3):3785.

Al-Maskari F, El-Sadig M. Prevalence of risk factors for diabetic foot complications. BMC Fam Practice. 2007 Dec;8(1):59.

Nyamu PN, Otieno CF, Amayo EO, McLigeyo SO. Risk factors and prevalence of diabetic foot ulcers at Kenyatta National Hospital, Nairobi. East African Med J. 2003;80(1):36-43.

Al-Rubeaan K, Al Derwish M, Quizi S, Youssef AM, Subhani SN, Ibrahim HM, et al. Diabetic foot complications and their risk factors from a large retrospective cohort study. PLoS One. 2015;10(5):e0124446.

Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med. 2017;49(2):106-16.