Prevalence of diabetic foot ulcer and its associated factors among diabetes patients on follow up at public hospitals in West Shewa Zone, Oromia, Ethiopia”

Abstract

Objectives: Diabetes mellitus (DM) is a growing health problem today. Diabetic foot ulceration (DFU) is the devastating complication. There is very limited information currently available in this regard at study area. Hence, in this study, we aimed to assess Prevalence and Associated Factors with diabetes foot ulcer among Diabetes Patients on Follow-up at Public Hospitals in West Shewa Zone, Oromia, Ethiopia. A facility-based cross-sectional study was conducted from March to June 2021 and a systematic random sampling method used to recruit study participants. A total of 4,807 diabetics are under observation. Among these proportionally allocated sample hospitals, Ambo University Referral Hospital, Ambo General Hospital, Guder Hospital and Gedo General Hospital were 1700, 1507, 600 and 1000 respectively. Data were collected by the interviewer using structured questionnaires from the study participants. Epi data version 3.1.1 and SPSS version 25 were used for data entry and analysis respectively. Descriptive statistics followed by multivariable logistic regression analysis were performed. Both crude and adjusted odds ratios and 95% confidence intervals CIs were reported. Results: The Prevalence of diabetes foot ulcers in this study was 18.7% (95%; CI 14.1 23.3). Marital status {AOR: 3.46; 95% CI:(1.41, 8.48), P = 0.007}, Diabetes peripheral neuropathy {AOR: 4.30, 95% CI:(1.67, 11.10), P = 0.002} and deformity {AOR: 17.546, 95% CI: (6.95, 44.3), P = 0.000} were significant determinants for the development of diabetes foot ulcer. Thus, health care providers are recommended to thoroughly give emphasis during follow-up of patients with identified factors to decrease the occurrence of diabetes foot ulcers.

Keywords

• Prevalence
• Diabetes mellitus
• Foot ulcer
• Associated factors
• Oromia
• Ethiopia