Download - The Diabetic Foot in Bahrain
The Diabetic Foot in Bahrain
Dr. Rani Al-Agha Consultant Vascular Surgeon
Kingdom of Bahrain
The Diabetic Foot in Bahrain
1000,000
The Diabetic Foot in Bahrain
Salmmaniya Medical Complex 1000 bed
The Diabetic Foot in Bahrain
The Diabetic Foot in Bahrain
Why ?
Main Problem
Socio-Economic
Burden
No Short term /
Long term plan
Serious Pathlogy
The Diabetic Foot in Bahrain
March till June 2010
The Diabetic Foot in Bahrain
141
87
0 50 100 150
228 Patients
Foot
Isch
emic
Oth
erD
ibet
ic
/Type of Admission/4months
Series1
38%
62%
The Diabetic Foot in Bahrain
Nationality
20%
80%
Non-Bahraini Bahraini
The Diabetic Foot in Bahrain
Gender Distrbution
29%
71%
female male
The Diabetic Foot in Bahrain
new versus old cases
old22%
new78%
old
new
The Diabetic Foot in Bahrain
0 10 20 30 40 50 60
Number of Patients
> 60y
40 to60y
< 40y
Age in Years
68 %
The Diabetic Foot in BahrainPathology
28%
72%
ischemic neuropathic
The Diabetic Foot in Bahrain
Duration of D.M in years
60%
40%
more than10 1to10
The Diabetic Foot in Bahrain
HbA1c Control(7%)
73%
27%
more equal/less
The Diabetic Foot in Bahrain
Management
75%
25%
other amputation
The Diabetic Foot in Bahrain
5
17
0 5 10 15 20
major
minor
Type of Amputation
Series1
77%
23%
The Diabetic Foot in Bahrain
17
7
0
5
10
15
20
noyes
Revascularization
Series1
71% 29%
No.of Pts
The Diabetic Foot in Bahrain
0
10
20
30
40
50
More than 30days
11-30 days1-10 days
Duration of Stay in Days
Series1
13%
50% 37%
No. ofPts
The Diabetic Foot in Bahrain
High Prevalence /incidence
Young age group / Socio-economic
burden
Majority are Neuropathic
Non-reconstruc-
table Vascular Lesions
The Diabetic Foot in Bahrain
In Conclusion
• The Diabetic Foot is a major health problem with a significant socio-economic burden
• A national and regional agenda is needed to find reliable solutions to overcome this rapidly spreading disease
Thank You
