Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review

Objective: To review the presentation and its surgical outcome among diabetic foot patients at Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu, Kelantan. Methodology: This is a prospective study of 35 diabetic foot patients who were admitted to orthopaedic wards of HRPZ II from April to M...

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Main Authors:	Othman, M. Y., Fuzi, N M H, Noh, C I, Che Ahmad, Aminudin
Format:	Conference or Workshop Item
Language:	English
Published:	2010
Subjects:	R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries
Online Access:	http://irep.iium.edu.my/41150/ http://irep.iium.edu.my/41150/ http://irep.iium.edu.my/41150/1/PO_19.pdf

id	iium-41150
recordtype	eprints
spelling	iium-411502015-03-30T03:39:57Z http://irep.iium.edu.my/41150/ Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review Othman, M. Y. Fuzi, N M H Noh, C I Che Ahmad, Aminudin R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries Objective: To review the presentation and its surgical outcome among diabetic foot patients at Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu, Kelantan. Methodology: This is a prospective study of 35 diabetic foot patients who were admitted to orthopaedic wards of HRPZ II from April to May 2007. Subjects were interview for sensory neuropathy and peripheral vascular disease. The lesion was classified based on Wegner’s and King’s classification. Blood glucose level and HbA1c were reviewed. Subjects were followed up for the surgical outcome. Results: 18 male patient (51.4%) and 17 female patients (48.6%) were involved in the study with men age of 58.4 ± 7.8 yeas old. Most of them are Malay (91.4%, n=32). 33 (94.3) patients were known to have diabetes mellitus with median duration of 12 years (range of 1-30 years). 71.0% (n=22) had significant neuropathy and 12% (n=3) had significant peripheral vascular disease. 51.4% (n=18) were classified in Grade 4 Wegner’s and Stage 5 King’s. Mean glucometer at early presentation was 14.7 ± 5.1 mmol/L and mean random blood glucose was 14.3 ± 8.0 mmol/L. HbA1c results revealed that 82.3% (n=14) of them had HbA1c more 8.0%. 14.3% (n=5) of the patients were planned for major amputation and 25.7% (n=9) were planned for Ray’s amputation. Within the study period, two patients died due to septicaemia. Conclusion: Majority of patients presented at advanced stage problem with poor glucose control. Rate of amputation was 40.0% and 14.3% ended up with major amputation. 2010 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/41150/1/PO_19.pdf Othman, M. Y. and Fuzi, N M H and Noh, C I and Che Ahmad, Aminudin (2010) Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review. In: 40th Malaysian Orthopaedic Association Annual General Meeting/ Annual Scientific Meeting, 20-22 May 2010, Johor Bahru, Johor. http://www.moa-home.com/moa2015/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries
spellingShingle	R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries Othman, M. Y. Fuzi, N M H Noh, C I Che Ahmad, Aminudin Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review
description	Objective: To review the presentation and its surgical outcome among diabetic foot patients at Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu, Kelantan. Methodology: This is a prospective study of 35 diabetic foot patients who were admitted to orthopaedic wards of HRPZ II from April to May 2007. Subjects were interview for sensory neuropathy and peripheral vascular disease. The lesion was classified based on Wegner’s and King’s classification. Blood glucose level and HbA1c were reviewed. Subjects were followed up for the surgical outcome. Results: 18 male patient (51.4%) and 17 female patients (48.6%) were involved in the study with men age of 58.4 ± 7.8 yeas old. Most of them are Malay (91.4%, n=32). 33 (94.3) patients were known to have diabetes mellitus with median duration of 12 years (range of 1-30 years). 71.0% (n=22) had significant neuropathy and 12% (n=3) had significant peripheral vascular disease. 51.4% (n=18) were classified in Grade 4 Wegner’s and Stage 5 King’s. Mean glucometer at early presentation was 14.7 ± 5.1 mmol/L and mean random blood glucose was 14.3 ± 8.0 mmol/L. HbA1c results revealed that 82.3% (n=14) of them had HbA1c more 8.0%. 14.3% (n=5) of the patients were planned for major amputation and 25.7% (n=9) were planned for Ray’s amputation. Within the study period, two patients died due to septicaemia. Conclusion: Majority of patients presented at advanced stage problem with poor glucose control. Rate of amputation was 40.0% and 14.3% ended up with major amputation.
format	Conference or Workshop Item
author	Othman, M. Y. Fuzi, N M H Noh, C I Che Ahmad, Aminudin
author_facet	Othman, M. Y. Fuzi, N M H Noh, C I Che Ahmad, Aminudin
author_sort	Othman, M. Y.
title	Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review
title_short	Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review
title_full	Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review
title_fullStr	Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review
title_full_unstemmed	Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review
title_sort	diabetic foot presentation and surgical outcome at hospital raja perempuan zainab ii, kota bharu, kelantan: a prospective review
publishDate	2010
url	http://irep.iium.edu.my/41150/ http://irep.iium.edu.my/41150/ http://irep.iium.edu.my/41150/1/PO_19.pdf
first_indexed	2023-09-18T20:58:57Z
last_indexed	2023-09-18T20:58:57Z
_version_	1777410493774823424

Diabetic foot presentation and surgical outcome at Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan: a prospective review

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