Uncover the hidden dangers lurking beneath the surface of diabetes in "Diabetic Foot Ulceration: A Lebanese Perspective," a groundbreaking exploration into the risk factors driving foot ulcers and hospitalizations within the Lebanese diabetic population. This isn't just another medical study; it's a critical examination of how established international guidelines measure up against the realities faced by patients in Beirut hospitals. Delve into a meticulous retrospective analysis that dissects the intricate web of influences, from the pervasive impact of neuropathy and peripheral vascular disease to the often-overlooked roles of gender, socioeconomic status, and medication adherence. Discover the surprising connections between age, obesity, hypertension, and glycemic control, and their combined power to predict the likelihood of ulcer development and prolonged hospital stays. This vital research sheds light on the urgent need for culturally sensitive and proactive healthcare strategies, challenging healthcare professionals to rethink their approach to preventative care and patient education. Are current diabetic foot care protocols truly effective across diverse populations? This book dares to ask the tough questions, offering invaluable insights for clinicians, researchers, and anyone committed to improving the lives of individuals living with diabetes. Explore the crucial intersection of diabetes, diabetic foot ulceration, risk factors, neuropathy, peripheral arterial disease, hospitalization, and the unique challenges presented within the Lebanese healthcare landscape. Through rigorous statistical analysis and compelling data, this book provides a roadmap for reducing the devastating impact of diabetic foot complications and improving patient outcomes in Lebanon and beyond. This exploration doesn't just present data, it challenges the very foundations of diabetes management, compelling readers to confront the urgent need for targeted interventions and personalized care strategies that address the specific vulnerabilities of this population. Step into a world where proactive care and a deeper understanding of risk factors can transform lives and prevent the debilitating consequences of diabetic foot ulcers.
Inhaltsverzeichnis (Table of Contents)
- Abstract
- Methods
- Results
- Conclusion
Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)
The objective of this study was to evaluate the risk factors for diabetic foot ulceration in Lebanese diabetic patients admitted to two Beirut hospitals, comparing them to established guidelines and review articles. The study employed a retrospective, observational design to analyze patient data and identify risk factors associated with ulceration and hospital admission.
- Risk factors for diabetic foot ulceration in the Lebanese population.
- The role of neuropathy and peripheral vascular disease in ulcer development.
- Association between risk factors and hospital admission/length of stay.
- Comparison of findings with existing guidelines on diabetic foot ulceration.
- Implications for healthcare professionals in preventing diabetic foot ulceration.
Zusammenfassung der Kapitel (Chapter Summaries)
Abstract: This study investigated risk factors for diabetic foot ulceration in Lebanese diabetic inpatients. A retrospective, multicenter observational study of 150 patients was conducted. The primary outcome measured risk factors based on universal guidelines, while the secondary outcome assessed risk factors for hospital admission. Data analysis involved univariate and multivariate logistic regression. Key findings highlighted the significance of factors like previous ulceration, neuropathy, peripheral vascular disease, gender, obesity, age, diabetes duration, hypertension, glycemic control, medication use, and socioeconomic status in contributing to ulceration and hospitalization.
Methods: This section details the methodology of a multicenter, retrospective, observational study conducted to evaluate risk factors for diabetic foot ulceration in Lebanese diabetic patients. The study population included patients admitted to two Beirut hospitals between February and May 2013. Specific inclusion and exclusion criteria are defined, and data collection methods are outlined, including patient demographics, medical history, laboratory results, and ulcer characteristics. Statistical analysis techniques, including univariate and multivariate logistic regression, are described to determine associations between risk factors and outcomes.
Results: This chapter presents the findings of the study on diabetic foot ulceration. Of 2090 screened patients, 150 were included. The results detail the prevalence of various risk factors among the study participants, including demographics (age, gender, obesity), diabetes characteristics (duration, glycemic control), comorbidities (hypertension, neuropathy, peripheral vascular disease), and socioeconomic status. Statistical analyses, using logistic regression, reveal significant associations between specific risk factors and both the development of diabetic foot ulcers and the length of hospital stay. The presentation of the results indicates which risk factors were most strongly predictive of ulceration and hospitalization.
Conclusion: This section summarizes the key findings and their implications. The study confirms that many established risk factors for diabetic foot ulcers are present in the Lebanese population. Neuropathy and peripheral vascular disease emerged as particularly important. Other significantly associated factors included previous ulceration, gender, obesity, age, diabetes duration, hypertension, poor glycemic control, oral hypoglycemic agent use, and socioeconomic status. The findings underscore the need for healthcare professionals to provide comprehensive counseling and preventative care to diabetic patients to reduce the incidence of foot ulceration and related hospitalizations.
Schlüsselwörter (Keywords)
Diabetes, diabetic foot ulceration, risk factors, neuropathy, peripheral arterial disease, hospitalization, Lebanon.
Häufig gestellte Fragen
Was ist das Ziel dieser Studie über diabetische Fußgeschwüre?
Das Ziel dieser Studie war es, die Risikofaktoren für diabetische Fußgeschwüre bei libanesischen Diabetikern zu bewerten, die in zwei Krankenhäusern in Beirut behandelt wurden. Die Ergebnisse werden mit etablierten Richtlinien und Übersichtsartikeln verglichen.
Welche Themenschwerpunkte wurden in der Studie untersucht?
Die Themenschwerpunkte umfassten:
- Risikofaktoren für diabetische Fußgeschwüre in der libanesischen Bevölkerung.
- Die Rolle von Neuropathie und peripherer Gefäßerkrankung bei der Geschwürbildung.
- Zusammenhang zwischen Risikofaktoren und Krankenhausaufnahme/Aufenthaltsdauer.
- Vergleich der Ergebnisse mit bestehenden Richtlinien zu diabetischen Fußgeschwüren.
- Implikationen für Angehörige der Gesundheitsberufe bei der Prävention diabetischer Fußgeschwüre.
Welche Methoden wurden in der Studie angewendet?
Es wurde eine retrospektive, beobachtende Studie durchgeführt, um die Daten der Patienten zu analysieren und Risikofaktoren zu identifizieren, die mit der Geschwürbildung und dem Krankenhausaufenthalt in Verbindung stehen. Die Studie umfasste Patienten, die zwischen Februar und Mai 2013 in zwei Krankenhäusern in Beirut aufgenommen wurden.
Was waren die wichtigsten Ergebnisse der Studie?
Die Ergebnisse zeigten die Bedeutung von Faktoren wie frühere Geschwürbildung, Neuropathie, periphere Gefäßerkrankung, Geschlecht, Adipositas, Alter, Diabetesdauer, Bluthochdruck, glykämische Kontrolle, Medikamenteneinnahme und sozioökonomischer Status für die Entstehung von Geschwüren und Krankenhausaufenthalten. Neuropathie und periphere Gefäßerkrankungen erwiesen sich als besonders wichtig.
Welche Schlussfolgerungen wurden aus der Studie gezogen?
Die Studie bestätigte, dass viele etablierte Risikofaktoren für diabetische Fußgeschwüre in der libanesischen Bevölkerung vorhanden sind. Die Ergebnisse unterstreichen die Notwendigkeit, dass Angehörige der Gesundheitsberufe umfassende Beratung und präventive Betreuung für Diabetiker anbieten, um die Inzidenz von Fußgeschwüren und damit verbundenen Krankenhausaufenthalten zu reduzieren.
Welche Schlüsselwörter sind mit dieser Studie verbunden?
Diabetes, diabetische Fußgeschwüre, Risikofaktoren, Neuropathie, periphere arterielle Verschlusskrankheit, Krankenhausaufenthalt, Libanon.
- Quote paper
- Hawraa Kisserwan (Author), 2013, Diabetic Foot Ulceration. Inpatient Relevant Risk Factors, Munich, GRIN Verlag, https://www.grin.com/document/934149
