Among diabetic patients, diabetic foot ulcers DFUs constitute the largest proportion of admissions, amputations, and mortality. The aim of this study is to assess the prevalence of diabetic foot ulcers and subsequently determine factors associated with it among diabetic patients at three major hospitals in Somalia. Methods: An institutional-based cross-sectional study was conducted among diabetic patients between August and November All eligible diabetes patients who were attending De Martini Hospital, Madina General Hospital, and Deynile General Hospital during the study period were included in the study.
Patients were interviewed using a structured questionnaire. We collected demographic, clinical, and behavioral variables from all participants. A bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. Patients who were either overweight or obese OR 4.
Conclusion: Increased body mass index, lack of family support, and not checking feet regularly were associated with DFUs. A coordinated health care system is necessary to meet the needs of diabetic patients and prevent DFUs.
The rising prevalence of diabetes mellitus DM worldwide, with an estimated million people with diabetes globally by , is a global public health concern 1. In , it was estimated that there were 19 million persons with diabetes in SSA, and the projected prevalence of DM to be 29 million in and 47 million by 2 , 3. DM is associated with many systematic complications, including diabetic foot ulcers DFU , which is an infection, ulceration, or destruction of the deep tissues of the foot.
A previous systematic review of the risk stratification systems for diabetic foot ulceration identified: previous lower extremity amputation, history of a foot ulcer, anatomic foot deformity, peripheral vascular disease, poor glycemic control and smoking 5. The lifetime risk of DFUs for patients with diabetes may reach up to 68 per 1, persons as reported by some studies 6. In patients with diabetic ulcers, neuropathy was the most common predisposing factor 7.
