Chulalongkorn Medical Journal


Background : Diabetes-related lower extremity amputation is common andleads to poor quality of life. A comprehensive diabetic footcare can reduce amputation rate to 49 - 85%. Diabetic FootClinic was developed at the Department of RehabilitationMedicine in 2004 to prevent foot ulcer and amputation.The authors aimed to evaluate the clinical outcomes of theDiabetic Foot Clinic, i.e. patient-related and ulcer-relatedoutcomes.Objective : To study clinical outcomes of patients treated at the DiabeticFoot Clinic.Design : Descriptive study.Setting : Department of Rehabilitation Medicine, King ChulalongkornMemorial Hospital.Materials and Methods : Medical records of patients who have continuously visitedthe Diabetic Foot Clinic for at least 1 year were retrospectivelyreviewed.Results : There were 124 patients; 57 males with the mean age of 62.6years. The percentage of death was 1.6%. The causes of deathwere infected diabetic foot ulcer and cellulitis. The percentageof lower limb amputation was 8.9%. The major and minoramputations were 3.2% and 5.6% respectively. The percentageof patients underwent surgical procedures was 8.1%.The surgical procedures were debridement and surgical graft.In total, there were 124 ulcers in 69 patients. Regarding healedulcer, there was 66.94% healed by 12 months.Conclusions : Clinical outcomes of patients treated at Diabetic Foot Clinicshowed percentage of death and amputation as 1.6% and 8.9%respectively, whereas the percentage of healed ulcer was 66.9%.


Faculty of Medicine, Chulalongkorn University

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