Risk Factors Associated with Diabetic Foot Disease in Diabetes Patients: First National Study in Oman
Objectives: The aim of this study is to identify the correlation betweenmultiple risk factors in the development of DFD in Oman. It also, aims to Identify the effect of having multiple significant risk factors on the disease progression and to explore which risk factor shows the highest correlation with disease development.
Methods: A retrospective caseâ€“control study was conducted with 100patients and 200 controls. Data of the participants was extracted from hospitalâ€™s Electronic Patient Record System (Alshifa) from 2000 to 2018. Chi square, Fisher exact test,Odds Ratio and Multiple regression analysis were used to determine the significance of various risk factors.
Rusults: Having a HbA1c > 7, Body Mass Index > 30 kg/m2 (BMI), and blood pressure over 140/90 mmHg showed a strong correlation with the development of DFD. Other risk factors such as age of diabetes, gender, total blood cholesterol, triglyceride levels, LDL, and HDL did not show anysignificant correlation with DFD.
Conclusion: Risk factors for DFD are highly prevalent in our society, controlling these risk factors could minimize the morbidity and the mortality related to this disease as well as reducing the economic impact related to it. Proper education for those at a higher risk could play an important role in the control of this disease.
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