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Research Article | Volume 13 Issue:3 (, 2023) | Pages 1163 - 1177
Prospective study of Diabetic foot Ulcer outcomes using Diabetic Ulcer Severity Score (DUSS)
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Published
Aug. 16, 2023
Abstract

Introducation: In the years between 1958 and 1993, the number of people diagnosed with Diabetes multiplied five – fold.1 In 1994, 135 million patients world – wide were living with Diabetes Mellitus. By the year 2025, it is estimated that this figure would increase to more than 300 million .2  Currently 25 million Indians have diabetes. The loss of a limb or foot is one of the most feared complications of diabetes and yet foot problems remain the commonest reason for diabetic patients to be hospitalized. Diabetic foot ulcers precede almost 85% of amputations.

  • Objectives To predict the  risk  of amputation .
  • Prognosticate diabetic foot ulcer healing & complications
  • Average length of Hospital stay(ALOS)

Material and Methods: This Is Prospective Study Conducted In Belgavi Institute Of Medical Sciences Belgavi From 2018 Till 2020. Total of 90 Diabetic patients with diabetic foot ulcers irrespective of their duration, attending surgical outpatient clinic or admitted into the BELGAVI INSTITUTE OF MEDICAL SCIENCES BELGAVI were recruited into the study based on the inclusion and exclusion criteria. ulcers were followed up for a minimum period of 6 months. Once a patient’s ulcer had healed completely either by primary healing or skin grafting or a lower-limb amputation performed, the outcome was noted and the patient was deemed to have completed the study Results AND Interpretation: Most Of The Patients Were Male In Thr 5 N 6 Decade ,Scoring Done Using Duss Score 11% Requiring Major Ampuatation And 44 % Minor Ampuatation. With Increases In Duss Score Ampuatation Chances Are More. Conclusion: DUSS scoring system provides an easy diagnostic tool for predicting probability of healing or amputation by combining four clinically assessable wound based Parameters.

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