بررسی عوامل مستعد کننده ایجاد زخم پای دیابتی و پیامدهای آن در بیماران مبتلا به سندرم پای دیابتی بستری در مجتمع آموزشی درمانی حضرت رسول اکرم(ص) تهران طی سال‌های 1380-1375

Prophylactic efforts can be helpful for the incidence of diabetes mellitus and its disabling complications and may cause noticeable decline in imposed economical costs on health systems. Epidemiological studies have revealed that Iranian diabetic population is more than 1.5 million and it is estimated that 14.5% to 22.5% of people older than 30 have Impaired Glucose Tolerant test. Foot problems are one of the late complications and main cause of disability, morbidity and hospitalization in diabetic patients. Moreover, 50% to 58% of nontraumatic lower extremity amputation is allocated to diabetic foot problems. Meanwhile the main goals of this research have been focused on assessment of predisposing factors due to diabetic foot ulcer syndrome and frequency of different outcomes that might happen during hospital stay. For this reason, 130 patients who had been hospitalized in one of the central university hospitals in Tehran during 5-year period with diagnosis of diabetic foot syndrome were selected. This study showed that majority of patients were male(72.3%) and 74.6% were suffering from NIDDM. The mean age of getting affacted was 62 years old. History of wearing tight shoes before ulcer was present in 11.5%. Furthermore, 40% had history of prior foot ulcer which led to hospitalization. The average diabetic duration was 13.7 years and the average length of hospital stay was 19 days. Moreover, lower extremity amputation occured in 41.5% of patients. Meanwhile there was a correlation between hospital stay and amputation (Pvalue=0.03) and history of smoking and amputation(Pvalue=0.01). Diabetic foot is a common health problem in Iranian diabetic men. Old age, male sex, poor glycemic control, smoking, history of prior amputation or foot ulcer and diabetic duration can be among precipitating factors. Most of the patients needed aggressive debridment and amputation in order to save their lives. In regard to high prevalence of diabetes in Iran, preparation of an appropriate field for training the patients’ family and health system staff and treatment methods for reducing one of the significant complications of diabetes mellitus is very necessary.