@article{Tahir_Bhatti_Huma_Khan_Rehman_Tahir_Abbasi_2023, title={Evaluation of Factors Causing a Delay in Management and Hospital Stay in Diabetic Foot Amputation Patients: A Prospective Cohort Study}, volume={22}, url={http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/1051}, abstractNote={<p>OBJECTIVE: To determine the rate of different amputation levels in diabetic foot patients and the<br />incidence of repetitive foot surgeries and evaluate the factors causing a delay in hospital stay and<br />amputation of patients.<br />METHODOLOGY: This prospective cohort study was conducted in Dr. Ruth K.M. Pfau, Civil Hospital<br />Karachi, Pakistan. The study selected 375 participants from the clinic’s daily patient inflow from October 2021 to March 2022 using a non-probability consecutive sampling technique. Those who had a delay in hospital stay and amputation were further followed up from May - October 2022. The chi-square test and Kruskal Wallis test (p-value <0.05) were used to correlate the effect of the level of lower limb amputation and the cause of delay in amputation using SPSS version 24.0. <br />RESULTS: Total 246(65.60%) were males and 129(34.40%) were females. Toe amputation was the most commonly seen amputation in 173(46.1%) participants. About 168(44.8%) patients had some in-hospital delay stay during their treatment. Preoperative hurdles (Uncontrolled RBS, Osteomyelitis, etc.) were the most common factor causing an in-hospital delay in 92(24.5%) patients. The level of amputation performed was found to be statistically significant with factors causing a delay in hospital stay through chi-square (p=0.003*) and Kruskal Wallis test H (2) statistic= 13.3, df = 3, H (2), P=0.004*). <br />CONCLUSION: Diabetic foot is a frequent cause of amputation globally, majorly in developing countries like Pakistan. On-time provision of treatment to these patients can decline the global amputation rate due to diabetic foot ulcers.</p>}, number={01}, journal={Journal of Liaquat University of Medical & Health Sciences}, author={Tahir, Syeda Anjala and Bhatti, Shaheen and Huma, Zille and Khan, Muhammad Ahsan and Rehman, Areeba and Tahir, Shumaila and Abbasi, Amanullah}, year={2023}, month={Mar.}, pages={14–21} }