Risk factors analysis of diabetic foot gangrene in Hainan region
- Author:
MAI Huiying
;
ZHANG Dehao
;
PAN Nanfang
- Publication Type:Journal Article
- Keywords:
Hainan region;
diabetic foot;
gangrene;
risk factors
- From:
China Tropical Medicine
2024;24(5):584-
- CountryChina
- Language:Chinese
-
Abstract:
Abstract: Objective Based on the results of previous studies that diabetic foot is the most common type of chronic wound in Hainan, the study aims to clarify the severity of diabetic foot residents and the risk factors of diabetic foot gangrene in Hainan Island, and to provide a scientific basis for reducing the incidence of amputation in diabetic foot patients. Methods A total of 457 diabetic foot patients from 19 hospitals in 11 cities and counties in Hainan Province were investigated from July 2022 to June 2023 using a survey design. The data collected included demographic characteristics, diabetes, and diabetic foot information. Counting data were described by frequency and percentage, and chi-square test was used for the comparison of differences between groups. A binary Logistic regression multi-factor analysis was used, and an incremental model was set up in the regression to test the impact of potential confounding factors on the results. Results The incidence of gangrene in diabetic foot patients in Hainan is 56.01% (95%CI: 51.21%-61.49%), which is higher than that in other areas. Univariate analysis showed that age, lifestyle habits, medication, comorbidities, family history, and wound infection are associated with the risk of diabetic foot gangrene. Multivariate logistic regression analysis further confirmed that the independent risk factors for diabetic foot gangrene are not receiving diabetes medication, having complications/complications of diabetes, and not checking both feet daily. No significant interaction between gender and the above factors was found in the subgroup analysis. Conclusions The incidence of gangrene in diabetic foot patients in Hainan is higher than that in other areas, and the risk factors are related to the lack of standardized, timely treatment, and patients' lack of knowledge about diabetes and diabetic foot. It is suggested to speed up the construction of wound treatment centers in primary hospitals, improve the treatment level of diabetic foot, pay attention to the education of diabetes and diabetic foot, and improve patients' compliance with treatment, so as to achieve early detection, timely diagnosis and treatment, and reduce the severity of diabetic foot and the risk of gangrene.
- Full text:202506171714022476615.Risk factors analysis of diabetic foot gangrene in Hainan region.pdf
