Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020

Introduction: This study aimed to find the general distribution of certain variables as risk factors for lower extremity amputation among diabetic foot patients at the Inpatient Ward of the Department of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020. Method...

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Main Authors: Aria Damarjiwo Adhibagio, Soebagijo Adi Soelistijo, Arief Rakhman Hakim, Agung Prasmono
Format: Article
Language:English
Published: Fakultas Kedokteran Universitas Airlangga 2024-01-01
Series:Juxta: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Subjects:
Online Access:https://e-journal.unair.ac.id/JUXTA/article/view/41179
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author Aria Damarjiwo Adhibagio
Soebagijo Adi Soelistijo
Arief Rakhman Hakim
Agung Prasmono
author_facet Aria Damarjiwo Adhibagio
Soebagijo Adi Soelistijo
Arief Rakhman Hakim
Agung Prasmono
author_sort Aria Damarjiwo Adhibagio
collection DOAJ
description Introduction: This study aimed to find the general distribution of certain variables as risk factors for lower extremity amputation among diabetic foot patients at the Inpatient Ward of the Department of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020. Methods: This was a descriptive-retrospective study using data from medical records. The International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26 was used to calculate the distribution. Results: The mean ± SD of age was 55.38 ± 7.503 years old and was slightly female-biased. The median (min-max) blood sugar level was 212.00 (85–446) mg/dL. Fifteen out of 16 patients had an HbA1c beyond 7.0%. The body mass index (BMI) of most patients was between normal and overweight, with a mean ± SD of 24.018 ± 4.1827. Fifteen percent of patients were smokers. Strokes were present in 3.9% of patients, cardiovascular diseases were present in 13.73% of patients, prior lower extremity amputation (LEA) history was present in 15.7% of patients, hypertension was present in 49% of patients, and dyslipidemia was present in 13 of 15 patients. The mean estimated glomerular filtration rate (eGFR) was 70.15 ± 34.498 mL/min/1.732. Conclusion: Older age, high blood sugar, high HbA1c levels, nephropathy, dyslipidemia, and hypertension had a high prevalence. Smoking, cardiovascular diseases, strokes, and prior amputation had a low prevalence. Gram-negative bacterial infection was observed in almost all reported patients. ABI results were either mostly not assessable or abnormally high. Most of the patients’ Wagner gradings were in the worst category.
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spelling doaj.art-0c2fd85225d6452686b32b511ee9ba982024-03-21T07:21:10ZengFakultas Kedokteran Universitas AirlanggaJuxta: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga1907-36232684-94532024-01-01151816https://doi.org/10.20473/juxta.V15I12024.8-16Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020Aria Damarjiwo Adhibagio0https://orcid.org/0000-0003-2846-2373Soebagijo Adi Soelistijo1https://orcid.org/0000-0002-7594-0123Arief Rakhman Hakim2https://orcid.org/0000-0003-1333-0888Agung Prasmono3https://orcid.org/0000-0003-4893-6396Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.Department of Thoracic, Cardiac, and Vascular Surgery, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.Department of Thoracic, Cardiac, and Vascular Surgery, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.Introduction: This study aimed to find the general distribution of certain variables as risk factors for lower extremity amputation among diabetic foot patients at the Inpatient Ward of the Department of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020. Methods: This was a descriptive-retrospective study using data from medical records. The International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26 was used to calculate the distribution. Results: The mean ± SD of age was 55.38 ± 7.503 years old and was slightly female-biased. The median (min-max) blood sugar level was 212.00 (85–446) mg/dL. Fifteen out of 16 patients had an HbA1c beyond 7.0%. The body mass index (BMI) of most patients was between normal and overweight, with a mean ± SD of 24.018 ± 4.1827. Fifteen percent of patients were smokers. Strokes were present in 3.9% of patients, cardiovascular diseases were present in 13.73% of patients, prior lower extremity amputation (LEA) history was present in 15.7% of patients, hypertension was present in 49% of patients, and dyslipidemia was present in 13 of 15 patients. The mean estimated glomerular filtration rate (eGFR) was 70.15 ± 34.498 mL/min/1.732. Conclusion: Older age, high blood sugar, high HbA1c levels, nephropathy, dyslipidemia, and hypertension had a high prevalence. Smoking, cardiovascular diseases, strokes, and prior amputation had a low prevalence. Gram-negative bacterial infection was observed in almost all reported patients. ABI results were either mostly not assessable or abnormally high. Most of the patients’ Wagner gradings were in the worst category.https://e-journal.unair.ac.id/JUXTA/article/view/41179diabetesdiabetic footdiabetes mellituslower extremity amputation
spellingShingle Aria Damarjiwo Adhibagio
Soebagijo Adi Soelistijo
Arief Rakhman Hakim
Agung Prasmono
Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020
Juxta: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
diabetes
diabetic foot
diabetes mellitus
lower extremity amputation
title Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020
title_full Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020
title_fullStr Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020
title_full_unstemmed Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020
title_short Risk Factor Profile of Amputation in Diabetic Foot Patients in Dr. Soetomo General Academic Hospital, Surabaya, from 2019 to 2020
title_sort risk factor profile of amputation in diabetic foot patients in dr soetomo general academic hospital surabaya from 2019 to 2020
topic diabetes
diabetic foot
diabetes mellitus
lower extremity amputation
url https://e-journal.unair.ac.id/JUXTA/article/view/41179
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