Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan

Diabetic foot disease poses a substantial problem in Malaysian diabetic population. We evaluate the clinical factors affecting minor amputation in diabetic foot disease. A cross-sectional study enrolling patients admitted to orthopaedic wards of a single tertiary hospital for diabetic foot disease...

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Main Authors:	Zakaria@Mohamad, Zamzuri, Afifi, Mustaqim, Sharifudin, Mohd Ariff
Format:	Article
Language:	English
Published:	Universiti Sains Malaysia 2015
Subjects:	RA0421 Public health. Hygiene. Preventive Medicine RD701 Orthopedics RM283 Endocrinotheraphy
Online Access:	http://irep.iium.edu.my/42256/ http://irep.iium.edu.my/42256/1/OA4mjms222.pdf

id	iium-42256
recordtype	eprints
spelling	iium-422562016-02-26T09:39:09Z http://irep.iium.edu.my/42256/ Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan Zakaria@Mohamad, Zamzuri Afifi, Mustaqim Sharifudin, Mohd Ariff RA0421 Public health. Hygiene. Preventive Medicine RD701 Orthopedics RM283 Endocrinotheraphy Diabetic foot disease poses a substantial problem in Malaysian diabetic population. We evaluate the clinical factors affecting minor amputation in diabetic foot disease. A cross-sectional study enrolling patients admitted to orthopaedic wards of a single tertiary hospital for diabetic foot disease was conducted. Patients who had undergone major amputation or with medical condition above the ankle joint were not included. Clinical data were collected by measurement of ankle brachial systolic index and Semmes-Weinstein 5.07 gauge monofilament test with foot clinical evaluation using King’s classification respectively. The total number of patients included was 138, with mean age of 59.7 years (range 29 to 94 years old). Fifty patients (36.2%) had minor amputations. Poor compliance to diabetic treatment, King’s classification stage 5, low measures of ankle brachial systolic index, sensory neuropathy, high serum C-Reactive protein and high serum creatinine are significant predictive factors for minor amputation (P < 0.05). Identifying these risk factors may help in prevention of minor amputation and subsequently reduce limb loss in diabetic foot. Universiti Sains Malaysia 2015-03-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/42256/1/OA4mjms222.pdf Zakaria@Mohamad, Zamzuri and Afifi, Mustaqim and Sharifudin, Mohd Ariff (2015) Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan. Malaysian Journal of Medical Sciences , 22 (2). pp. 41-47. ISSN 1394-195X
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RA0421 Public health. Hygiene. Preventive Medicine RD701 Orthopedics RM283 Endocrinotheraphy
spellingShingle	RA0421 Public health. Hygiene. Preventive Medicine RD701 Orthopedics RM283 Endocrinotheraphy Zakaria@Mohamad, Zamzuri Afifi, Mustaqim Sharifudin, Mohd Ariff Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan
description	Diabetic foot disease poses a substantial problem in Malaysian diabetic population. We evaluate the clinical factors affecting minor amputation in diabetic foot disease. A cross-sectional study enrolling patients admitted to orthopaedic wards of a single tertiary hospital for diabetic foot disease was conducted. Patients who had undergone major amputation or with medical condition above the ankle joint were not included. Clinical data were collected by measurement of ankle brachial systolic index and Semmes-Weinstein 5.07 gauge monofilament test with foot clinical evaluation using King’s classification respectively. The total number of patients included was 138, with mean age of 59.7 years (range 29 to 94 years old). Fifty patients (36.2%) had minor amputations. Poor compliance to diabetic treatment, King’s classification stage 5, low measures of ankle brachial systolic index, sensory neuropathy, high serum C-Reactive protein and high serum creatinine are significant predictive factors for minor amputation (P < 0.05). Identifying these risk factors may help in prevention of minor amputation and subsequently reduce limb loss in diabetic foot.
format	Article
author	Zakaria@Mohamad, Zamzuri Afifi, Mustaqim Sharifudin, Mohd Ariff
author_facet	Zakaria@Mohamad, Zamzuri Afifi, Mustaqim Sharifudin, Mohd Ariff
author_sort	Zakaria@Mohamad, Zamzuri
title	Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan
title_short	Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan
title_full	Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan
title_fullStr	Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan
title_full_unstemmed	Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan
title_sort	clinical factors affecting minor amputation in diabetic foot diseases at tengku ampuan afzan hospital, kuantan
publisher	Universiti Sains Malaysia
publishDate	2015
url	http://irep.iium.edu.my/42256/ http://irep.iium.edu.my/42256/1/OA4mjms222.pdf
first_indexed	2023-09-18T21:00:16Z
last_indexed	2023-09-18T21:00:16Z
_version_	1777410576515858432

Clinical factors affecting minor amputation in diabetic foot diseases at Tengku Ampuan Afzan Hospital, Kuantan

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