Assessment of Prevalence of Diabetic Foot Ulcer and associated Factors among Diabetic Patient Attending Tikur Anbesa Specialized Hospital Diabetic Clinic, Addis Ababa, Ethiopia, 2017
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2017-06
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Addis Ababa University
Abstract
Background:Diabetesmellitus is one of the endocrine disorders worldwide. It is estimated that, at the time ofdiagnosis of type 2 diabetes mellitus, more than 10 % of patients have one or two risk factors for footdisease, such as peripheral neuropathy or peripheral vascular disease. The burden of diabetic footdisease is expected to increase given the increasing global prevalence of diabetic foot ulcer Worldwide,3 %–10 % of people with diabetes have a foot ulcer; the lifetime risk for developing is 15 %. Rates offoot ulceration in Africa vary between regions and have been estimated to be between 4 % and19 %.Associated factors apart from as peripheral neuropathy or peripheral vascular disease , barefootwalking, inappropriate footwear, poor foot hygiene and delay in seeking medical care .
Objective: To assess prevalence of diabetic foot ulcer and associated factors at TikurAnbessaSpecialized Hospital, Addis Ababa, Ethiopia, 2017.
Methods and Analyses: - An institution based cross sectional quantitative study design was conductedfrom April 1st to May 1st 2017. TikurAnbessa Specialized Hospitalwas selected purposively. Sample sizewas calculated by using single population proportion sample formula and the final sample size was 203.Study subject were selected using simple random sampling method. Data was checked for completeness,cleaned, coded and entered into EPI data version 3.1and analyzed using SPSS version 22.0. Descriptivestatistics, frequency, proportion, mean and SD was used to describe variables. Binary logistic regressionand multivariate regression including odds ratio with 95%CI was used to identify association betweendependent and independent variables. P-value less than 0.05 were considered as significance level forassociations.
Result: The prevalence ofdiabetic foot ulcer cases among diabetic patient was 26%. Of the 198respondents, 106 (53%) were males with the remaining females. Occupation {(AOR=8.16; CI (1.2,9.5)} and place of place residence {(AOR=5.97; CI(1.47, 24.3)} was significantly associated withdiabetic foot ulcer.
Conclusion and Recommendation: The study revealed that the prevalence of diabetic foot ulcer amongdiabetic patients in TikurAnbesa specialized Hospital was twenty six percent. Place of residence andoccupation was associated with diabetic foot ulcer. There is a need to design and iintervention to reduce the incidence of diabetic foot ulcer.
Keyword: diabetic foot ulcer, prevalence
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Diabetic foot ulcer Prevalence