title: The epidemiology of foot wounds in patients with diabetes: a description of 600 consecutive patients in Turkey.
abstract: Epidemiological studies describing demographic, clinical, and surgical characteristics of diabetic foot wounds are lacking in Turkey. To further describe the epidemiology of diabetic foot wounds in Turkey, we developed an evaluation form and performed a retrospective cohort study that entailed 600 diabetic patients who were admitted to the hospital for treatment of their foot wound(s). The mean age of the cohort was 62.3 ± 10.3 (range 23-92) years, and their mean duration of diabetes was 17.4 ± 7.4 years. Males accounted for 68.17% of the cohort, and 96.83% of the cohort had type 2 diabetes. Prevalences for lower extremity arterial pulses and peripheral neuropathy, as well as the location, depth, microbiology, and surgical treatment of the pedal wounds are also presented. In conclusion, diabetic foot wounds are common in Turkey, and the morbidity associated with these lesions is generally substantial. Although our investigation aimed primarily at describing risk factors associated with diabetic foot wounds, we believe that the findings of this investigation can be used in the development of prospective cohort studies and randomized controlled trials that focus on foot wounds in diabetic patients in Turkey, and may be useful to investigators in other parts of the world.
authors.affiliation: Istanbul University Cerrahpasa Medical School, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul, Turkey.
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Altindas
authors.forename: Ali
authors.initials: A
authors.lastname: Kilic
authors.forename: Can
authors.initials: C
authors.lastname: Cinar
authors.forename: Ugur Anil
authors.initials: UA
authors.lastname: Bingol
authors.forename: Guncel
authors.initials: G
authors.lastname: Ozturk
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty; D015331:Cohort Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D017719:Diabetic Foot / Q000453:epidemiology* / Q000628:therapy*; D003929:Diabetic Neuropathies / Q000453:epidemiology; D005260:Female; D018409:Foot Injuries / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006931:Hyperbaric Oxygenation; D007383:Intermittent Claudication / Q000453:epidemiology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D010146:Pain / Q000453:epidemiology; D012146:Rest; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology; D014945:Wound Healing