A Prospective Study to Determine the Effects of Ulcer Size, Ulcer Age, Duration of Diabetes, Glycaemic Control, Infection, Lower Limb Ischemia and Neuropathy on Outcome of Diabetic Foot Ulcer

Dr. Pramil Pradhan, Dr. Sourav Paikray, Dr. Ashoak Acharya, Dr. Debashis Nanda, Dr. Kushal Futane

Abstract: Background: India is projected to become the diabetic capital of the world, placing a heavy burden on healthcare resources. A majority of diabetic patients develop foot ulcers during their course of illness. The foot is highly vulnerable to injury and infection, and is the primary site for neuropathy and ischaemia. Ulcers increase the risk of progression, often leading to amputation?85% of amputations are preceded by ulcers. However, up to 40% of amputations are preventable with proper wound care. Methodology: This prospective observational study was conducted at Hi-Tech Medical College & Hospital, Bhubaneswar from March 2023 to January 2025. It included diabetic foot ulcer patients from the Departments of General Surgery and Plastic Surgery. Patients were enrolled through random sampling, and clinical, demographic, and laboratory data were collected. Diagnosis was based on clinical signs and elevated blood sugar levels. Result & Conclusion: The study included 75 patients (52 males, 23 females), mostly in their 40s to 60s. Ulcers were most commonly found on the plantar aspect (66.7%), followed by the dorsum (30.7%). Most ulcers were Grade II (56%) and Grade III (34.7%), with fewer cases in Grades I, IV, and V. Statistical analysis showed significance (Z=3.02; p=0.0025).

Keywords: Diabetes, Diabetic foot ulcer, ulcer, amputation, neuropathy, vasculopathy

How to Cite?: Dr. Pramil Pradhan, Dr. Sourav Paikray, Dr. Ashoak Acharya, Dr. Debashis Nanda, Dr. Kushal Futane, "A Prospective Study to Determine the Effects of Ulcer Size, Ulcer Age, Duration of Diabetes, Glycaemic Control, Infection, Lower Limb Ischemia and Neuropathy on Outcome of Diabetic Foot Ulcer", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 486-490, https://www.ijsr.net/getabstract.php?paperid=SR251008190130, DOI: https://dx.doi.org/10.21275/SR251008190130