Characteristics of diabetic foot ulcers in Western Sydney, Australia

Zaine, Norafizah Haji; Burns, Joshua; Vicaretti, Mauro; Fletcher, J.; Begg, Lindy; Hitos, Kerry

doi:10.1186/s13047-014-0039-4

Cited by 41 publications

(38 citation statements)

References 41 publications

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“…Perspectives need to be exercised, however, as most of the reported studies on the subject in SSA are old and cross-sectional in design. However, our annual incidence is higher than that observed in developed countries, where a dramatic reduction in the rate of diabetic foot has been recorded over the past two decades [8,25,26]. The North-West and West of Ireland diabetic foot studies conducted in the United Kingdom and the Republic of Ireland reported diabetic foot incidence of 2.2% and 2.6%, respectively [8,27].…”

Section: Discussionmentioning

confidence: 81%

Diabetes-related foot disorders among adult Ghanaians

Sarfo‐Kantanka

Kyei

Mbanya

et al. 2018

Diabetic Foot & Ankle

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Background: Diabetic foot remains a challenge in most low-middle-income countries (LMICs). A severe deficit in data exists on them in sub-Saharan Africa (SSA). Up-to-date data on the longitudinal trajectories and determinants can provide a benchmark for reducing diabetic foot complications in SSA. Objective: The primary objective of this study was to estimate trends in the incidence of diabetic foot and determine predictors in an adult Ghanaian diabetes cohort. Design: The study is a retrospective longitudinal study over a 12 year period. Methods: We applied Poisson regression analysis and Cox proportional hazard models to demographic and clinical information obtained from patients who enrolled in a diabetes specialist clinic in Ghana from 2005 to 2016 to identify longitudinal trends in incidence and predictors of diabetic foot. Results: The study comprised 7383 patients (63.8% female, mean follow-up duration: 8.6 years). The mean incidence of foot disorders was 8.39% (5.27% males and 3.12% females). An increase in the incidence of diabetic foot ranging from 3.25% in 2005 to 12.57% in 2016, p < 0.001, was determined. Diabetic foot, with adjusted hazard ratio (HR; 95% confidence interval (CI)), was predicted by disease duration, that is, for every 5-year increase in diabetes duration: 2.56 (1.41–3.06); male gender: 3.51 (1.41–3.06); increased body mass index (BMI), that is, for every 5 kg/m2: 3.20 (2.51–7.52); poor glycaemic control, that is, for every percentage increase in HbA1c: 1.11 (1.05–2.25), hypertension: 1.14 (1.12–3.21); nephropathy: 1.15 (1.12–3.21); and previous foot disorders: 3.24 (2.12–7.21). Conclusions: We have found a trend towards an increased incidence of diabetic foot in an outpatient tertiary diabetes setting in Ghana. Systemic and individual-level factors aimed at preventive foot screening as well as vascular risk factor control should be intensified in diabetic patients in Ghana and other LMICs. Abbreviations: BMI: Body Mass Index, BP: Blood Pressure, CI: Confidence Interval, HR: Hazard Ratio, HbA1c: Glycated Hemoglobin, PAD: Peripheral Arterial Disease, NCDs: Non Communicable Disease, SSA: Sub Saharan Africa.

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Section: Discussionmentioning

confidence: 81%

Diabetes-related foot disorders among adult Ghanaians

Sarfo‐Kantanka

Kyei

Mbanya

et al. 2018

Diabetic Foot & Ankle

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“…Three of the papers on DFUs reported rates of infection; between 14.6% and 49.7% of DFUs showed clinical sign(s) of infection.…”

Section: Resultsmentioning

confidence: 99%

“…Several studies on DFUs reported on rates of DFU‐related amputation . The studies measured rates of ≥1 minor amputation (below the ankle), ranging from 2.1% to 36.5%, and rates of ≥1 major amputation (above the ankle), ranging from 0.5% to 23.0% . One study found that, in people who had one minor amputation for a DFU‐related complication, 26.0% also had at least one subsequent minor amputation, and 18.5% had at least one subsequent major amputation …”

Section: Resultsmentioning

confidence: 99%

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Chronic wounds in Australia: A systematic review of key epidemiological and clinical parameters

McCosker

Tulleners

Cheng

et al. 2018

International Wound Journal

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Chronic wounds are a significant problem in Australia. The health care‐related costs of chronic wounds in Australia are considerable, equivalent to more than AUD $3.5 billion, approximately 2% of national health care expenditure. Chronic wounds can also have a significant negative impact on the health‐related quality of life of affected individuals. Studies have demonstrated that evidence‐based care for chronic wounds improves clinical outcomes. Decision analytical modelling is important in confirming and applying these findings in the Australian context. Epidemiological and clinical data on chronic wounds are required to populate decision analytical models. Although epidemiological and clinical data on chronic wounds in Australia are available, these data have yet to be systematically summarised. To address these omissions and clarify the state of existing evidence, we conducted a systematic review of the literature on key epidemiological and clinical parameters of chronic wounds in Australia. A total of 90 studies were selected for inclusion. This paper presents a synthesis of the evidence on the prevalence and incidence of chronic wounds in Australia, as well as rates of infection, hospitalisation, amputation, healing, and recurrence.

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“…Entretanto, alguns estudos mostram maior ocorrência em pacientes do sexo masculino (16)(17) . (18) .…”

Section: Métodounclassified

Prevalência E Caracterização De Feridas Crônicas Em Idosos Assistidos Na Atenção Básica

Vieira

Furtado

Almeida

et al. 2017

Rev. baiana enferm.

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Como citar este artigo: Vieira CPB, Furtado AS, Almeida PCD, Luz MHBA, Pereira AFM. Prevalência e caracterização de feridas crônicas em idosos assistidos na atenção básica. Rev baiana enferm. 2017;31(3):e17397.Objetivo: analisar a prevalência e a caracterização de feridas crônicas em idosos assistidos na atenção básica e descrever as características sociodemográficas e clínicas desses idosos. Método: pesquisa transversal com 339 idosos, realizada entre janeiro e maio de 2016. Resultados: 55,8% tinham de 60 a 70 anos, 67,3% eram mulheres, sem escolaridade (44%), casadas (51,9%) e com uma ou mais doenças (91,7%). A prevalência foi de 8% (IC 95% 5,0-10,9), sendo 5% lesões por pressão e 2,9% úlceras vasculogênicas. Verificou-se associação da ocorrência de ferida crônica com escolaridade (p=0,03) e escore do Mini-Exame do Estado Mental (p=0,000) e diferença estatística na média da idade entre os idosos com lesões e os que não apresentavam lesão (p=0,000). Conclusão: houve baixa prevalência de feridas crônicas na população estudada. A região sacral foi a mais atingida e 48,2% das lesões apresentavam tecido de granulação e tinham média de tempo de existência de três anos.

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Characteristics of diabetic foot ulcers in Western Sydney, Australia

Cited by 41 publications

References 41 publications

Diabetes-related foot disorders among adult Ghanaians

Diabetes-related foot disorders among adult Ghanaians

Chronic wounds in Australia: A systematic review of key epidemiological and clinical parameters

Prevalência E Caracterização De Feridas Crônicas Em Idosos Assistidos Na Atenção Básica

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