DOI: http://dx.doi.org/10.18203/2349-2902.isj20182251

Analysis of the ipsilateral and the contralateral foot in patients admitted with diabetic foot complication through Amit Jain’s triple assessment for foot in diabetes

Amit Kumar C. Jain, Saniya Jabbar, Gopal S.

Abstract


Background: Diabetic foot is a well-known complication of diabetes. The aim of this study was to determine the foot evaluation done in surgical patients admitted with diabetic foot problems and to distribute the components of evaluation through Amit Jain’s triple assessment for foot in diabetes.

Methods: A descriptive retrospective analysis was carried out in Department of Surgery of Rajarajeswari Medical College, Bangalore, India. The study was approved by Institutional ethics committee.

Results: 50 inpatients files of surgery patients were reviewed. Majority of patients were males. The most common diagnosis was non-healing ulcer affecting 34% of patients. Around 26% of patients had diagnosis written as just Diabetic Foot without mentioning the pathological lesion. 38% of patients didn’t have duration of diabetes mellitus mentioned in records. Although 94% of patients had ipsilateral foot examined, the component distribution like feeling the peripheral pulses and testing sensation for neuropathy was only 42% and 2%. The contralateral foot was examined in only 2% of patients.

Conclusions: Diabetic foot is often neglected by patients and health care professionals. This study that analyzes diabetic foot evaluation through Amit Jain’s triple assessment for foot shows that although the ipsilateral foot is inspected in 94% of the patients, only 42% patient’s pulses were assessed and only 2% patients’ sensation were tested. The contralateral foot wasn’t examined in 98% of patients. Amit Jain’s triple assessment should be considered a minimum and mandatory evaluation tool for all patients with diabetic foot.


Keywords


Amit Jain, Amputation, Diabetic foot, Triple assessment, Wet gangrene

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References


Sutkowsko EE, Sokolowski M, Zdrojowy K, Dragan S. Active screening for diabetic foot assessment of health care professional’s compliance to it. Clin Diabetol. 2016;5(3):83-7.

Rahaman HS, Sreenivas JV, Krishnana A, Tandon N. Effectiveness of a patient education module on diabetic foot care in outpatient setting: an open- label randomized controlled study. Indian J Endocr Metab. 2018;22:74-8.

Saurabh S, Sarkar S, Selvaraj K. Effectiveness of foot care education among people with type 2 diabetes in rural Puducherry, India. Indian J Endocr Metab. 2014;18(1):106-10.

Jain A, Kumar K, Kumar H, Kumar S. Amit Jain’s triple assessment: a new screening method for the diabetic foot. DFJME. 2018;4(1):40-1.

Pendsey SP. Understanding diabetic foot. Int J Diabetes Dev Countries. 2010;30(2):75-9.

Saleem S, Maken ZH, Farooq R, Malik ZI. The great diabetic foot debate: what part does the physician inpatients foot care knowledge. Ann Pak Inst Med Sci. 2016;12(2);72-6.

Miller JD, Carter E, Shih J. How to do 3-minute diabetic foot exam. J Fam Prac. 2014;63(11):646-56.

Chalya PL, Mabula JB, Dass RM. Surgical management of diabetic foot ulcers. A Tanzanian university teaching hospital experience. BMC Res Notes. 2011;4:365.

Wu S. Pressure mitigation for the diabetic foot ulcer. Podiatry Management. 2015:79-85.

Jain AKC. Amit Jain’s triple assessment for foot in diabetes: the simplest and the fastest new screening tool in the world. IJMSCI. 2017;4(6):3015-9.

Jain AKC. Type 1 diabetic foot complications. J Diab Foot Comp. 2016;8(1):17-22.

Jain AKC, Rajagopalan, Gopal S. Testing and validating Amit Jain’s classification and scoring system for daiebtic foot complication. IJMSIR. 2018;3(1):227-36.

Singh M, Sahu A. Analysing diabetic foot complication according to modern comprehensive Amit Jain classification from Indian subcontinent in a government care setting. IJCMAAS. 2017;13(3):125-30.

Jain AKC. Amit Jain’s system of practice for diabetic foot: the new religion in diabetic foot field. Int J Surg. 2018;5(2):368-72.

Dikeukwu RA, Omole OB. Awareness and practices of foot self care in patients with diabetes at Dr Yusuf Dadoo district hospital, Johannesburg. JEMDSA. 2013;18(2):112-8.

Jain A. Amit Jain’s triple assessment of foot in diabetes: a rapid screening tool. Wounds Int. 2018;9(1):35-7.

Rosner B. In: Fundamentals of Biostatistics. 5th Edition. Duxbury; 2000.

Riffenburg RH. In: Statistics in Medicine. 2nd Edition. Academic press; 2005.

Rao PSSS, Richard J. In: an introduction to biostatistics, a manual for students in health sciences, New Delhi: Prentice Hall of India. 4th Edition; 2006.

Suresh KP, Chandrasekhar S. Sample size estimation and power analysis for clinical research studies. J Hum Reprod Sci. 2012;5(1):7-13.

Berbrayer D. Self-care among diabetic amputee. Int J Diabetes Clin Res. 2015;2:1.

Chiwanga FS, Njelekela MA. Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania: a cross-sectional study. J Foot Ankle Res. 2015;8:20.

Ismail I, Dhanapathy A, Gandhi A, Kannan S. Diabetic foot complication in a secondary foot hospital: A clinical audit. AMJ. 2015;8(4):106-12.