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