Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Diabetic foot complications pose a significant healthcare challenge, with vasculopathy being a major contributing factor. This study aimed to assess the prevalence of vasculopathy in diabetic foot patients and investigate its impact on surgical outcomes. We conducted a cross-sectional study involving 100 diabetic foot patients. Patient demographics, including age, gender, diabetes duration, and comorbidities, were recorded. Vasculopathy was assessed through ankle-brachial index (ABI), with a mean ABI of 0.65 (SD = 0.12). Surgical outcomes, including wound healing rates, amputation rates, infection rates and length of hospital stay, were monitored. Patient-reported outcomes were assessed using a quality of life questionnaire. Among the study population, 70% of patients (n = 70) were diagnosed with vasculopathy based on an ABI of <0.9. Patients with vasculopathy demonstrated distinct outcomes. A 40% rate of complete wound healing within 12 weeks compared to 85% in patients without vasculopathy. Major amputation rates were significantly higher in the vasculopathy group (15%) compared to the non-vasculopathy group (2%). Infection rates were also elevated in patients with vasculopathy (25% vs. 12%). Furthermore, patients with vasculopathy had a longer mean hospital stay (10.4 days vs. 7.2 days) and reported lower quality of life scores (mean score = 45.6 vs. 62.8). Vasculopathy significantly influences surgical outcomes in diabetic foot patients, with higher amputation rates, longer hospital stays and diminished quality of life. Early identification and intervention for vasculopathy in diabetic foot patients are crucial to improve clinical outcomes and patient well-being. These findings underscore the importance of a comprehensive approach to managing diabetic foot complications that includes addressing vasculopathy as a primary concern.
How to cite this article:
Koorapati Ramesh. Clinical Evaluation of Vasculopathy in Diabetic Foot and its Impact on Surgical Outcomes.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.48.52
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.48.52