RT Journal Article
SR Electronic
T1 Diabetic foot and peripheral arterial disease
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 49
OP 55
DO 10.15537/smj.2021.1.25640
VO 42
IS 1
A1 Abdulmajeed Altoijry
A1 Hesham AlGhofili
A1 Shahad N. Alanazi
A1 Dania A. AlHindawi
A1 Norah S. AlAkeel
A1 Bedoor S. Julaidan
A1 Musaad AlHamzah
A1 Talal Altuwaijri
YR 2021
UL http://smj.org.sa/content/42/1/49.abstract
AB Objectives: To determine the prevalence of vasculopathic diabetic foot and the associated factors in a Saudi tertiary center.Methods: This retrospective chart review included adult patients (≥18 years) diagnosed with diabetic foot between May 2015 and July 2019 in King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia. Based on clinical presentation and laboratory results, the patients were categorized into 2 groups namely, “vascular induced diabetic foot group” and “non-vascular induced diabetic foot group”.Results: A total of 404 diabetic patients were enrolled in the study. The mean age of the patients was 62.03±12.30 years; 61.9% were males. Most of the diabetic foot cases had a non-vascular etiology (n=327, 80.9%), while 77 cases (19.1%) were due to vasculopathy. Patient in the vascular group had a significantly higher incidence of coronary artery disease (32.5% versus 14.4%; p<0.001), and a higher incidence of peripheral artery disease (PAD) in the unaffected limb (22.1% versus 2.1%; p<0.001).Conclusion: Most cases of diabetic foot were due to non-vascular causes. Old age, history of coronary artery disease, or PAD in the unaffected limb were factors that were significantly associated with diabetic foot due to arterial disease.