Diabetic Foot Ulcer Prevalence and Associated Factors Among Adult Diabetic Patients in Central India Who Presented to the Clinic an Institutional-based Cross-sectional Study
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Abstract
Diabetes mellitus is a disorder of metabolism that affects almost every system in the body and is characterized by multiple long-term complications. Involvement of the foot and foot ulcers are two of the main complications of diabetes mellitus [1]. There is very limited evidence on the occurrence of diabetic foot ulcers and factors influencing them worldwide [1]. This cross-sectional study was conducted at our center. To investigate the occurrence of diabetic foot ulcers in diabetic patients, systematic random sampling was used to select 140 study participants in this study. To identify factors associated with diabetic foot ulcers A bivariate and multivariable logistic regression model was used. To determine the level of significance, the odds ratio with a 95% confidence interval was computed. Diabetic foot ulcer incidence was 14.1%. Rural residence [AOR = 2.67; 95% CI: 1.44, 5.92], diabetes mellitus type II [AOR = 2.58; 95% CI: 1.23, 6.11], obesity [AOR = 2.66; 95% CI: 1.24, 5.84], overweight [AOR = 2.13; 95% CI: 1.20, 3.12], neuropathy [AOR = 21.69; 95% CI: 8.44, 57.48] Poor foot self-care practices [AOR = 2.53; 95% CI: 1.22, 6.49] were factors associated with diabetic foot ulcers. Diabetic foot ulcer prevalence was on the higher side. Provision of special emphasis for rural residence, promoting foot self-care practice, managing neuropathy, and decreasing excessive weight gain would decrease diabetic foot ulcers.
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