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<p>India is now considered as Diabetes capital of the world with approximately 90 million individuals presently affected with diabetes in India &amp; 530 million worldwide. On an average, 15% of patients with diabetes develop foot disease. Diabetic Foot Disease is a common cause for admissions, imposing tremendous burden on the healthcare system. Patients with diabetic foot ulcer have a 40% greater 10-year mortality rate as compared to patients with diabetes only. A comparative study was done at Tertiary-care public health setup in India over a period of one year at the same centre before and after implementation of structured diabetic foot care with interdisciplinary approach. Major and Minor amputation rates along with mortality was calculated which was then compared. 771 patients with diabetic foot were included during the year 2018–2019 treated with standard wound care, of which 250 patients [32%] needed amputations with 24% two-year mortality rate. 588 patients with diabetic foot were included during the year 2021–2022 &amp; treated with structured diabetic foot care with interdisciplinary approach of which 147 [25%] needed amputations with 12% two year mortality rate. This finding was statistically significant with a <i>p</i> value of &lt; 0.05%. Implementation of structured diabetic foot care program is associated with a significant reduction in amputation &amp; mortality rate. There is a need for setting up a structured diabetic foot care facilities in all institutes in India.</p>

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Impact of a Structured Diabetic Foot Care Program on Mortality and Amputation Rates in a Tertiary Care Centre

  • 期刊论文

  • 发表日期：

    2026年3月30日

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  • Smruti Ghetla,
  • Vipul Versi Nandu,
  • Talabadi Parmeshwar,
  • Aryan Tharewal

摘要

India is now considered as Diabetes capital of the world with approximately 90 million individuals presently affected with diabetes in India & 530 million worldwide. On an average, 15% of patients with diabetes develop foot disease. Diabetic Foot Disease is a common cause for admissions, imposing tremendous burden on the healthcare system. Patients with diabetic foot ulcer have a 40% greater 10-year mortality rate as compared to patients with diabetes only. A comparative study was done at Tertiary-care public health setup in India over a period of one year at the same centre before and after implementation of structured diabetic foot care with interdisciplinary approach. Major and Minor amputation rates along with mortality was calculated which was then compared. 771 patients with diabetic foot were included during the year 2018–2019 treated with standard wound care, of which 250 patients [32%] needed amputations with 24% two-year mortality rate. 588 patients with diabetic foot were included during the year 2021–2022 & treated with structured diabetic foot care with interdisciplinary approach of which 147 [25%] needed amputations with 12% two year mortality rate. This finding was statistically significant with a p value of < 0.05%. Implementation of structured diabetic foot care program is associated with a significant reduction in amputation & mortality rate. There is a need for setting up a structured diabetic foot care facilities in all institutes in India.