Title: A Prospective Study on Clinical Evaluation and Management of Diabetic Wounds according to Wagners Classification in Tertiary Care Hospital
Authors: Dr Narayana Swamy T, Dr Chandra Vamsi Krishna M
DOI: https://dx.doi.org/10.18535/jmscr/v8i7.86
Abstract
Background: Most important complication in diabetic patients are Diabetic foot which represents a major medical, social and economic problem worldwide that significantly influence the diabetic patients quality of life .Several classification systems for diabetic foot ulcers have been proposed. The present study was intended to assess the role of Wagners wound classification in predicting the outcome of diabetic foot ulcer and also know the grade of Wagner’s classification to which majority of diabetic foot ulcer patients.
Methods: This present study was carried out in the Department of General Surgery, KIMS Hospital, Bengaluru. A total of 100 patients with diabetic foot ulcer who presented during the study period were included. The diabetic foot ulcers were graded according to the Wagner’s classification.
Results: Age group of 41-60 years and above 61 years showing the risk of diabetic foot ulcers in this study. In gender, males are more affected (72%) than females (38%) and most common age group fall in 41-60 years for both males and females. Neuropathy may influence the diabetic foot ulcers irrespective of gender. Nature of lesions showed that Deep thickness ulcers were higher in this study 36% followed by others. Wagner’s classification showed Grade II is more prevalent in this study.
Conclusion: Glycaemic control and proper foot care, education about diabetic foot are key factors for better out come and quality of life.
Keywords: Diabetic Foot Ulcers, Wagner’s Classification.
References
- Connor H Some Historical Aspects of Diabetic Foot Disease. Diabetes Metab Res Rev. 2008; 24(1):S7-S13.
- Pryce TD: A Case of Perforating Ulcers of Both Feet Associated with Diabetes and Ataxic symptoms. Lancet.1887; 11:11-2.
- Park SY, et al. Effects of foot complications in patients with Type 2 diabetes mellitus on public healthcare: An analysis based on the Korea National Diabetes Program Cohort. J Diabetes Complications.2016; 16:30253-7.
- Joshi SR, Parikh RM. India - Diabetes Capital of the World: Now Heading Towards Hypertension. J Assoc Physicians India.2007; 55:323-4.
- International Diabetes Federation, Diabetes Atlas, 5th Edition, 2012
- Fard AS, Esmaelzadeh M, Larijani, B. “Assessment and treatment of diabetic foot ulcer,” International Journal of Clinical Practice, 2007; 61(1):1931–1938.
- Ahmad W, Khan IA, Ghaffar S, Al-Swailmi FK, Khan I. Risk factors for diabetic foot ulcer. J Ayub Med Coll Abbottabad, 2013; 25(7):16-18.
- Anil G, Haq M, Singh M. Management Option in Diabetic Foot According to Wagners Classification: An Observational Study. JK SCIENCE, 2016; 18, 35-38.
- Ali SM, Basit A, Sheikh T, Mumtaz S, Hydrie MZ. Diabetic foot ulcer--a prospective study. J Pak Med Assoc, 2001; 51(5):78-81.
- Viswanathan V, Thomas N, Tandon N, Asirvatham A, rajasekhar s, Ramachandran a, et al. profile of diabetic foot complications and its associated complications- -a multicentric study from India. J Assoc Physicians India, 2005;53(4):933-936.