Factors affecting time of ulcers healing in diabetic foot patients

• Elena Yu. Komelyagina
• Mikhail B. Antsiferov
• A.K. Volkovoy
• N.I. Sabanchieva
• M.F. Zaychikova
• N.V. Maksimov
• O.M. Uvarova

Abstract

Aims – to analyze the time of ulcers healing in diabetic foot patients treating in diabetic foot department of Moscow Endocrinology Dispenser and to determine factors influencing this process.

Materials and methods. The time of ulcers healing treated in 2014 and proportion of wounds healed over 3, 6, 12 months and not healed over a year were assessed. Demographic data (gender, age), parameters of diabetes (HbA1c, presence of late complications), ulcer characteristics (ulcer duration, type of lesion, depth, infection, localization) were analyzed.

Results. 39.8% of ulcers were healed in 3 months, 24.1% in 6 and 20.2% in 12 months. Totally during the year 84.1% of ulcers were healed. 15.9% of ulcers were not healed in a year. Type 1 of diabetes, patient’s age and ulcer depth significantly delayed healing time.

Conclusion. The majority of ulcers (84.1%) were healed in conditions of specialized care for diabetic foot patients. Such modified factors as infection and plantar localization have no negative impact on healing time if antibacterial treatment and off-loading are administered in time.

Keywords:diabetes mellitus, diabetic foot syndrome, time of ulcer healing, factors affecting ulcer healing

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)