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Diabetic Foot Complications: A Retrospective Cohort Study

Author

Listed:
  • Bogdan Stancu

    (2nd Department of General Surgery, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania)

  • Tamás Ilyés

    (Department of Molecular Sciences, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania)

  • Marius Farcas

    (Hematology Department, Institute of Oncology “Prof. Dr. Ion Chiricuță”, 400015 Cluj-Napoca, Romania)

  • Horațiu Flaviu Coman

    (Department of Vascular Surgery, County Clinical Emergency Hospital, 400347 Cluj-Napoca, Romania)

  • Bogdan Augustin Chiș

    (2nd Department of Internal Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania)

  • Octavian Aurel Andercou

    (2nd Department of General Surgery, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania)

Abstract

Diabetes mellitus is a highly prevalent disease globally and contributes to significant morbidity and mortality. As a consequence of multiple pathophysiologic changes which are associated with diabetes, these patients frequently suffer from foot-related disorders: infections, ulcerations, and gangrene. Approximately half of all amputations occur in diabetic individuals, usually as a complication of diabetic foot ulcers. In this retrospective study, we analyzed and characterized a cohort of 69 patients and their diabetes-related foot complications. The main characteristics of our cohort were as follows: older age at diagnosis (mean age 66); higher incidence of diabetes in males; predominantly urban patient population. The most frequent complications of the lower extremity were ulcerations and gangrene. Moreover, in our study, 35% of patients required surgical reintervention, and 27% suffered from complications, while 13% required ICU admission. However, diabetic foot lesions are preventable via simple interventions which pointedly reduce foot amputations. Early identification and the appropriate medical and surgical treatment of the complications associated with diabetic foot disease are important because they still remain common, complex and costly.

Suggested Citation

  • Bogdan Stancu & Tamás Ilyés & Marius Farcas & Horațiu Flaviu Coman & Bogdan Augustin Chiș & Octavian Aurel Andercou, 2022. "Diabetic Foot Complications: A Retrospective Cohort Study," IJERPH, MDPI, vol. 20(1), pages 1-9, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:187-:d:1012358
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    References listed on IDEAS

    as
    1. Diana I. Sima & Cosmina I. Bondor & Ioan A. Vereşiu & Norina A. Gâvan & Cristina M. Borzan, 2021. "Hospitalization Costs of Lower Limb Ulcerations and Amputations in Patients with Diabetes in Romania," IJERPH, MDPI, vol. 18(5), pages 1-11, February.
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