Diabetes Complications, Diabetic Foot Ulcer
Conditions
Keywords
diabetic foot ulcer, diabetes mellitus, amputation, neuropathy
Brief summary
This study examines the demographic, clinical, and laboratory characteristics of patients with diabetic foot ulcers admitted to 5 Azar Hospital, Gorgan, in 2024. By analyzing factors such as Hb, WBC, HbA1C, ESR, and CRP in relation to ulcer severity, the study aims to identify predictors of outcomes and support more effective prevention and management strategies
Detailed description
Diabetic foot ulcer (DFU) is one of the most serious and preventable complications in diabetic patients, often leading to infection, hospitalization, lower limb amputation, and increased mortality. This cross-sectional descriptive-analytical study aims to investigate the demographic, clinical, and laboratory characteristics of approximately 200 patients with DFU admitted to 5 Azar Hospital, Gorgan, in 2024. Data will be retrospectively collected from medical records after obtaining ethical approval. The study will analyze relationships between patient demographics, clinical features, and laboratory findings (including Hb, WBC, HbA1C, ESR, CRP) with ulcer severity based on Wagner's classification. Statistical tests such as independent t-test, chi-square, Fisher's exact test, and multivariable logistic regression will be used. By identifying key factors associated with ulcer severity and outcomes, the findings of this study may contribute to more effective prevention and management strategies for diabetic foot ulcers, ultimately reducing complications and healthcare costs
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients admitted to 5 Azar Hospital, Gorgan, in 2024 * Diagnosis of diabetic foot ulcer (DFU) confirmed by medical records * Complete demographic, clinical, and laboratory data available in medical files
Exclusion criteria
* Incomplete or missing medical records * Patients with foot ulcers of non-diabetic etiology * Patients whose key laboratory data are unavailable
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Severity of diabetic foot ulcer (measured by Wagner classification at admission) | Baseline | Measured by Wagner classification |
| Laboratory parameters and ulcer grade | Baseline | Association between Hb, WBC, HbA1C, ESR, and CRP levels with Wagner ulcer grade |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment outcomes | At hospital discharge (average of 10 days) | Frequency of outcomes: antibiotic therapy, wound debridement, or amputation |
| Duration of diabetes until ulcer onset | Baseline | Time (in years) between diabetes diagnosis and first DFU occurrence |
| Demographic distribution | Baseline | Age, sex, occupation, and ethnicity of DFU patients |
| Ulcer recurrence | During 12-month follow-up (based on records) | Number of hospital readmissions due to DFU. |
| Smoking status and ulcer severity | Baseline | Correlation between smoking history (yes/no) and Wagner ulcer grade |
Countries
Iran