Amit Nirmal Cuttilan
Yong Loo Lin School of Medicine, Singapore
Scientific Tracks Abstracts: J Diabetes Metab
Background & Aim: Diabetic foot complications and subsequent lower limb amputations commonly occur in diabetic patients due to poor foot care. We aimed to understand the extent of proper foot care practices and to identify the factors which influence these among diabetic patients in a multi-ethnic Asian population. Methods: A cross-sectional multi-centre quantitative study was performed. Inclusion criteria were all patients attending hospital outpatientsā?? clinics for diabetes. Patients were only excluded if they were unable to understand basic English. Demographic information, medical history (including formal assessment for peripheral neuropathy) and Nottingham Assessment of Functional Foot-care (NAFF) scores were collected. All data was analyzed using SPSS Version 21. Results: 350 valid responses were obtained. The mean NAFF score was 49.6Ā±7.19. Univariate analysis revealed that ethnically non- Chinese patients had significantly better scores than Chinese patients. After linear regression analysis, a statistically significant correlation with better foot care practices was found for patients with higher education levels, active employment and the presence of previous diabetic foot complications. Conclusion: The mean NAFF scores in our study are lower than those published in other populations which may in part account for the huge burden of diabetic foot disease in Singapore. Patients appear to look after their feet better only after suffering a complication. Cultural and financial factors probably account for the differences in our risk factor findings and those published in other populations. Future studies should evaluate the effectiveness of targeted interventions for the specific groups.
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