Abstract
Background and Aim: Diabetes mellitus is one of the most common metabolic disorders which is characterized by numerous long-term complications affecting almost every system in the body. Foot ulcer, which often results in lower extremity amputations, is one of the most common complications associated with the disease. This study was proposed to determine magnitude of lower limb amputation and to identify associated factors with lower limb amputation among Diabetic Foot Ulcer patients admitted to Adama Hospital Medical College from January 2013 to
December 2017.
Methods: Institution based cross sectional study design was conducted. Data was gathered from medical records using prepared checklist; data was entered and analyzed by SPSS version 20.
Results: Diabetic Foot Ulcer (DFU) accounted 110(12.9%) out of total DM patient admissions (n= 850) from January 2013 to December 2017. Out of DFU patients, 39 (35.5%) individuals lost their limb(s). The odds of being age of 61 to 69 years, being rural resident, having grade 3 DFU, havingPeripheral Arterial Disease (PAD), positive finding Doppler Ultrasound and Random Blood Sugar (RBS) 400 to 599 mg/dl were 4.16 times, 3.11 times, 6.81 times, 4.66 times, 8.23 times and 1.39 times more risk for lower limb amputation respectively.
Conclusion:Grade 3 DFU, PAD, positive finding Doppler Ultrasound, rural residence and poor glycemic control are factors identified in patients who lost their limb(s) because of DFU. Hence, strict patient education, good glycemic control, early investigation for PAD, early management of foot infection are critical to reduce the risk of lower limb amputation.