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Diabetic foot complications in Malta: Prevalence of risk factors

Formosa, C. and Gatt, A. and CHOCKALINGAM, Nachiappan (2012) Diabetic foot complications in Malta: Prevalence of risk factors. Foot, 22 (4). pp. 294-297.

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Abstract or description

Aims: The main objective of this research was to identify the prevalence of diabetes-related lower-extremity complications in a cohort of Maltese patients living with type 2 diabetes. Methods: A retrospective study was conducted on a cohort of 243 patients living with type 2 diabetes mellitus in two Maltese Health Centre catchment areas. A convenience sampling was adopted to recruit subjects from a local pilot diabetes foot screening program. The clinical assessments used during this screening program were based on validated and previously published tools such as: neuropathy disability score, vibration perception threshold, Semmes-Weinstein monofilaments, vascular status and foot deformities were evaluated. Results: The results from this study demonstrate that risk factors for foot deterioration and ulceration are common in Maltese population living with type 2 diabetes. Whilst, metabolic outcomes such as hypertension and dyslipidaemia were present in most subjects, peripheral vascular disease, peripheral sensory neuropathy and foot deformities were also common. Twenty-six per cent of the sample had to be referred for further vascular assessment following this screening program due to their critical vascular status. Conclusions/interpretation: A significant proportion of Maltese participants living with type 2 diabetes presented with vascular insufficiency, abnormal neural function and deformities in the feet. Metabolic outcomes such as high blood pressure and high levels of cholesterol were also highly prevalent. Strengthening of existing screening structures is imperative in order to reduce the burden of this disease in Malta. © 2012 Elsevier Ltd.

Item Type: Article
Additional Information: cited By (since 1996) 0
Uncontrolled Keywords: cholesterol, aged; article; catchment; cholesterol blood level; clinical assessment; cohort analysis; diabetic foot; dyslipidemia; ethnic group; female; foot malformation; human; hypertension; major clinical study; male; Malta; Maltese; neuropathy; non insulin dependent diabetes mellitus; perceptive threshold; peripheral vascular disease; prevalence; priority journal; retrospective study; risk factor; scoring system; screening test; sensory neuropathy; vibration
Subjects: A900 Others in Medicine and Dentistry
B800 Medical Technology
B900 Others in Subjects allied to Medicine
C600 Sports Science
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Nachiappan CHOCKALINGAM
Date Deposited: 14 Mar 2013 22:22
Last Modified: 19 Apr 2013 10:03
URI: http://eprints.staffs.ac.uk/id/eprint/680

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