Natl Med J India. 2026 Jul-Aug;39(4):235-238. doi: 10.25259/NMJI_536_2024.
ABSTRACT
Background Diabetic foot ulcers are an important problem for people with diabetes mellitus. We aimed to determine the mortality rate in patients with diabetic foot ulcers and assess the relationship between mortality, the Wagner classification of diabetic foot, and biochemical parameters, such as glucose, haemoglobin A1c (HbA1c), and lipid profile. Methods We included patients with diabetic foot ulcers treated at a training and research hospital from April 2019 to June 2022. We compared patients who died during this period and those who were alive to determine the mortality rate and assess predictive factors for mortality. Results We included 170 patients in the study; their mortality rate was 29.4%. The Wagner classification did not reveal a statistically significant difference in mortality (p=0.334). However, a statistically significant association was found between mortality and the duration of diabetes (p=0.036), uric acid levels and creatinine values (p<0.05). Although the median HbA1c levels were higher in those who were alive compared with the deceased, this did not affect mortality. Conclusion The Wagner classification for diabetic foot ulcers did not show any correlation with mortality. Instead, blood glucose, creatinine, and aspartate aminotransferase values predicted mortality in people with diabetic foot.
PMID:42325033 | DOI:10.25259/NMJI_536_2024
