E-ISSN 2534-9821
 

Original Research 


Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer

Prita Aulia, Chairuddin Rasjad, Arifin Seweng, Prihantono Prihantono.

Abstract
Background: Foot ulcer are common complication of Diabetic Mellitus (DM) that has high morbidity and mortality rate and associated with prolonged treatment conditions and increased risk of surgery and amputation. Peripheral arterial disease (PAD) can cause intermittent claudication for the occurrence of foot ulcers in DM. The Ankle Brachial Index (ABI) value can be used as an initial diagnosis for PAD. This study aims to examine the values of ABI in patients with a diabetic foot ulcer and its correlation to diabetic ulcer based on Wagner's classification.
Method: The study design was cross-sectional, from April to June 2018. Demographic, clinical and anthropometric data of diabetic ulcer patients who were hospitalized or outpatient at WahidinSudirohusodo Makassar Hospital were recorded for 41 patients. The degree of injury is assessed based on Wagner's criteria, ABI examination is performed and blood sugar checks are performed using blood sugar check strips. Data analyzed using the Spearman's Correlation and Chi-Square test.
Results: Subject ABI levels were between 0.85-1.33 with mean of 1.14. Clinical examination results showed 18 (43,9%) subjects had normal and 18 (43,9%) had mild ABI and only 5 (12,2%) subjects with moderate degrees. There is correlation between ABI and Wagner classification, even though the statistical test results showed no significance (p>0,08). Percentage of subjects with Wagner III, IV and V was high in mild ABI (i.e. 40.0%, 40.0% and 20.0%), while the percentage of subjects with Wagner I and II were found to be high in normal ABI (27.8% each)
Conclusion: There was correlation between ABI and wagner’s classification, that the lower of ABI value, the higher the degree of wagner’s classification but statistically insignificant

Key words: Diabetes Mellitus, Ankle Brachial index, Neuropathy, Wagner Classification


 
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Pubmed Style

Aulia P, Rasjad C, Seweng A, Prihantono P. Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer. Int J Med Rev Case Rep. 2019; 3(7): 386-389. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index


Web Style

Aulia P, Rasjad C, Seweng A, Prihantono P. Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer. http://mdpub.net/?mno=42676 [Access: September 20, 2019]. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index


AMA (American Medical Association) Style

Aulia P, Rasjad C, Seweng A, Prihantono P. Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer. Int J Med Rev Case Rep. 2019; 3(7): 386-389. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index



Vancouver/ICMJE Style

Aulia P, Rasjad C, Seweng A, Prihantono P. Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer. Int J Med Rev Case Rep. (2019), [cited September 20, 2019]; 3(7): 386-389. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index



Harvard Style

Aulia, P., Rasjad, . C., Seweng, . A. & Prihantono, . P. (2019) Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer. Int J Med Rev Case Rep, 3 (7), 386-389. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index



Turabian Style

Aulia, Prita, Chairuddin Rasjad, Arifin Seweng, and Prihantono Prihantono. 2019. Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer. International Journal of Medical Reviews and Case Reports, 3 (7), 386-389. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index



Chicago Style

Aulia, Prita, Chairuddin Rasjad, Arifin Seweng, and Prihantono Prihantono. "Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer." International Journal of Medical Reviews and Case Reports 3 (2019), 386-389. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index



MLA (The Modern Language Association) Style

Aulia, Prita, Chairuddin Rasjad, Arifin Seweng, and Prihantono Prihantono. "Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer." International Journal of Medical Reviews and Case Reports 3.7 (2019), 386-389. Print. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index



APA (American Psychological Association) Style

Aulia, P., Rasjad, . C., Seweng, . A. & Prihantono, . P. (2019) Correlation of Ankle Brachial Index (ABI) with Degrees of Diabetic Ulcer. International Journal of Medical Reviews and Case Reports, 3 (7), 386-389. doi:10.5455/IJMRCR.Correlation-Ankle-Brachial-Index