Prevalence of Amputation and Associated Factors among Diabetic Foot Ulcer Patients Admitted at Selected Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Study
| dc.contributor.advisor | Fekadu Aga | |
| dc.contributor.author | Saron Derso | |
| dc.date.accessioned | 2025-01-06T09:03:26Z | |
| dc.date.available | 2025-01-06T09:03:26Z | |
| dc.date.issued | 2024-06-10 | |
| dc.description.abstract | Background: Diabetes is one of the most common metabolic disorders, with numerous long term complications affecting nearly every system in the body. One of the most common complications associated with the disease is foot ulcer, which frequently results in lower extremity amputations. Objective: to determine the prevalence of amputation and associated factors among diabetic foot ulcer patients admitted at selected public hospitals in Addis Ababa, Ethiopia. Methods: Institution based retrospective (from 2021 to 2023) study design that employed systematic random sampling technique was done. The data was collected by structured data extraction checklist from HMIS and electronic eye care systems. The data was coded and entered into Epi-Data version 4.6 and analyzed using STATA 14 statistical software. Bivariate and Mmultivariate logistic regression analyses were employed to identify the prevalence of amputation and its associated factors among diabetic foot ulcer patients. The statistical significance of association between variables was decided using 95% confidence interval and p-value <0.05. Result: The overall prevalence of amputation among DFU were 30.2% (94/311), Multivariate logistics regression analysis showed that for a 1% increase in HbA1c there is 34% more likely to get amputation (AOR, 1.34, 95% CI: 1.00-2.03, P value, 0.044). The odds of having amputation among DFU male patients were 3.25 times more likely than in female (AOR 3.25, 95% CI: 1.41- 7.49, P value, 0.005). The risk of having amputation was 10.58 times more likely among smoker than nonsmokers (AOR 10.58, 95% CI: 4.91-22.81, P value, 0.000), 3.83 times among type 2 DFU patients than type 1 DFU (AOR, 3.83, 95% CI: 1.50- 9.75, P value, 0.005) 2.92 times among those who have PAD those who don’t have PAD (AOR, 2.92, 95% CI: 1.32-6.46, P value, 0.008). Conclusion and Recommendation: The prevalence of amputation among DFU patients observed in this study is high. The study identified HbA1C, sex, history of smoking, type of DM and PAD are important risk factors for amputation among DFU patients. Therefore, DFU patients should regularly monitor their HbA1C value and educational initiatives and efforts to provide better treatment for diabetic patients are required. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/4077 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Amputation | |
| dc.subject | Diabetic Foot Ulcer | |
| dc.subject | Diabetes Mellitus | |
| dc.subject | Retrospective Study | |
| dc.title | Prevalence of Amputation and Associated Factors among Diabetic Foot Ulcer Patients Admitted at Selected Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Study | |
| dc.type | Thesis |