The management of diabetic foot disorders in six hospitals in jeddah, saudi arabia

Abstract

Objective :the objective is study, the outcomes of Diabetic foot disorders in six public and private hospitals in Jeddah, Saudi
Arabia,
Method:In this multicenter retrospective study, the outcomes of Diabetic foot disorders DFD management in six public and
private hospitals in Jeddah, Saudi Arabia, were reviewed over 12 months in six hospitals in Jeddah, Saudi Arabia to identify
the characteristics of patients admitted with DFD and problems in their care in less-developed countries.
Results:Medical records of 275 patients were reviewed; 229 were treated at public hospitals and 46 at private hospitals. The
mean age of patients was 58.5 11.6 years. Ulcer was the most common presentation (81.8% of patients). Ischemia was
diagnosed in 52.7% of patients and was significantly correlated with the duration of DM. Among the studied patients 4.8%
underwent revascularization procedures. Lower extremity amputation was performed in 48.8% of patients (69% were minor
and 31% were major amputations). The 30-day mortality rate was 6.5%. Only 13.8% of patients were discharged with plans
for rehabilitation. Lower extremity amputation was fairly common in patients hospitalized for DFD. Every effort should be
made to avoid such procedures, particularly in less-developed countries with limited resources for rehabilitative care.
Conclusion:There is need for improving public educational programs, earlier referral, prompt revasculariclzation and
improving rehabilitation and home/ambulatory care.