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Relationship of Lipid Profile with Wagner Severity Level in Diabetic Feet at General Hospital Dr. M. Djamil Padang Ario, Yunes; Raflis Rustam; Vendry Rivaldi
Biomedical Journal of Indonesia Vol. 7 No. 1 (2021): Biomedical Journal of Indonesia
Publisher : Fakultas Kedokteran Universitas Sriwijaya (Faculty of Medicine, Universitas Sriwijaya) Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i1.279

Abstract

A B S T R A C TIntroduction Diabetic foot is an erosion or injury to the epidermis or the distal soleof the foot and the base of the foot in people with diabetes mellitus (DM). Diabeticfoot is a major cause of limb amputation in non-traumatic cases. Per year, as manyas 2-3% of people with diabetes experience complications of diabetic foot. Theprevalence of DM sufferers with diabetic foot is 20-40% in developing countries. InIndonesia, the prevalence of DM sufferers with diabetic foot is around 15% with 32%mortality rate. One factor plays an important role in predisposing the occurrence ofdiabetic foot is the lipid profile. The aim of this study was to determine the correlationbetween lipid profile and Wagner Severity Level on diabetic foot patients at Dr. M.Djamil Central Public Hospital, Padang in the period of July 2020 to December 2020.Method: This research is an observational analytic study with cross sectionalanalytic design. The research sample of 47 cases was taken by non-probabilitysampling with the consecutive sampling method. This research is an observationalanalytic study with cross sectional analytic design. The research sample of 47 caseswas taken by non-probability sampling with the consecutive sampling method.Result: There were 47 cases that met the inclusion criteria where the 51-60 yearsage group (55.3%) was the largest group in cases of diabetic foot. Of these groups, itwas dominated by female patients, namely 31 patients (66.0%). Meanwhile, the BodyMass Index (BMI) was dominated by the group with BMI <25 kg/m2 with a total of26 patients (55.3%). Diabetic foot patient at Dr. M Djamil Central Public HospitalPadang who underwent amputation was 25 patients (53.2%) where most of them,namely 40 patients (85.1%) had suffered from Diabetes Mellitus for> 5-10 years. Thefindings obtained based on the Wagner Severity Level were that the Wagner grade 3-5 (heavy) group consisted of 24 people (51.1%) and Wagner 1-2 (mild) as many as 23people (48.9%). The results of the bivariate test between lipid profile levels withWagner Severity Level in diabetic foot patients showed a significant correlation asindicated by a p value <0.05. Conclusion: Wagner Severity Level which is gettinghigher in diabetic foot patients shows low HDL levels, high LDL levels and high levelsof triglycerides in blood plasma.
KORELASI ANTARA NILAI ANKLE BRACHIAL INDEX DENGAN DERAJAT KAKI DIABETES KLASIFIKASI WAGNER DI RSUP DR M.DJAMIL PADANG Rahmat Taufik; Raflis Rustam; Vendry Rivaldy; Hafni Bachtiar
Majalah Kedokteran Andalas Vol 38, No 3 (2015): Published in December 2015
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.294 KB) | DOI: 10.22338/mka.v38.i3.p181-188.2015

Abstract

AbstrakDiabetes Mellitus merupakan penyakit yang merupakan epidemi global dan menyumbang angka kematian tertinggi di dunia. Salah satu komplikasi diabetes adalah penyakit arteri perifer (PAP), suatu kondisi yang ditandai oleh penyumbatan dalam arteri ekstremitas inferior. Tingkat keparahan PAP dapat diperiksa dengan modalitas pemeriksaan non-invasif seperti pemeriksaan ABI (ante brachial index). Derajat keparahan kaki diabetes dapat di kategorikan berdasarkan klasifikasi Wagner. Penelitian ini bertujuan untuk mengetahui korelasi antara nilai ABI dengan derajat keparahan kaki diabetik klasifikasi Wagner pasien di RS M Djamil Padang. Dengan metode survei analitik desain cross sectional, pada pasien dengan kaki diabetik dilakukan pemeriksaan ABI dan pemeriksaan derajat kaki diabetik klasifikasi Wagner. Data kemudian dianalisis dengan menggunakan uji non-parametrik dengan tingkat kepercayaan 95%. Signifikansi dari hasil tes ditentukan oleh nilai p <0,05. Dari total 48 sampel diperoleh bahwa nilai ABI adalah obstruksi ringan pada 23 orang (47,92%), dan sebagian besar pasien kaki diabetes klasifikasi Wagner adalah derajat 1 sebanyak 17 (35,42%). Uji statistik menemukan hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner (p = 0,000). Dapat disimpulkan, terdapat hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner di RSUP Dr M. Djamil Padang.ABSTRACTDiabetes Mellitus is a global epidemic disease and accounts for the highest mortality rate in the world. One of its complications is Peripheral Arterial Disease (PAP) which characterized by blockages in the arteries of inferior extremity. The severity of PAP can be detected and determined by a non-invasive method namely ABI (ante brachial index). The degree of severity of diabetic foot can be classified into several categories based on Wagner classifications. This study aimed to determine the correlation between the values of ABI with the degree of Wagner classification-diabetic foot of patients in M Djamil Padang hospital. Analytical survey with cross sectional design has been done. The variables needed were measured and analysed with a non-parametric test with a 95% confidence level to determine the relationships between variables. Of 48 samples, 23 people (47.92%) were having mild obstruction of ABI values, and about one-third of the samples (35,42%) were having first degree of diabetic foot based on Wagner classification. Statistical analysis showed a significant correlation between ABI values and the degree of diabetic foot based on Wagner classification (p=0.000). To be concluded, there was a significant correlation between ABI values and the degree of Wagner classification-diabetic foot in M.Djamil Padang hospital.