A study of the association between peripheral arterial disease and diabetic foot ulcers

Authors

  • ihab kador Tishreen university
  • Hussam Kinjo Tishreen University
  • Ali Kafa Tishreen University

Abstract

Background and aim of the study: The objective of the study is  to determine the proportion of diabetic foot patients , which have an associated peripheral arterial disease.

Methods: The study included diabetic patients admitted to the Vascular Surgery Division between 1-1-2021 and 31-12-2021 with foot ulcers. A comprehensive clinical examination was conducted for patients with an assessment of ulcers and their classification according to the Megitt-Wagner classification, in addition to investigating the presence of peripheral vascular disease using clinical examination, ankle-brachial index, Vascular doppler and the use of contrast imaging when a conclusive diagnosis was not reached using the previous investigations. Peripheral arterial disease was diagnosed if: nonpalpable peripheral pulse in one or more arteries, ABI <0.91, non triphasic arterial  waveforms, and angiographic-documented peripheral arterial disease. Accordingly, the data was studied.

Results: A total of 56 patients (38 males, 18 females, average age 58.23 ± 6.2 years) who fulfilled the inclusion criteria were enrolled  in the study. The prevalence of peripheral vascular disease in the study sample was 30.4%. Lower values of the ankle-brachial index were observed in more severe grades of Wagner's classification of ulcers. The duration of diabetes was longer in patients with peripheral arterial  disease, with a mean of 14.82±3.1 years, and this relationship was statistically significant, p-value=0.001.

Conclusion: The prevalence of peripheral arterial disease in patients with diabetic foot ulcers was 30.4%, and there was a significant relationship between the longer duration of diabetes and the presence of peripheral arterial disease.

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Published

2022-07-31

How to Cite

1.
قدور إ, حسام كنجو, علي كفا. A study of the association between peripheral arterial disease and diabetic foot ulcers. Tuj-hlth [Internet]. 2022Jul.31 [cited 2024Nov.24];44(3):659-68. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/12774

Issue

Vol. 44 No. 3 (2022): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

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