ArticleCureus2025
A Prospective Observational Study on the Clinical Outcomes of Diabetic Foot Ulcers Based on Diabetic Ulcer Severity Score at a Tertiary Care Center in Jharkhand, India.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- miR-125a-5p promotes normal angiogenesis in diabetic foot ulcers by targeting GSTM5.Acta diabetologica · 2026Article
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background People with long-standing or poorly controlled diabetes often experience problems in their feet due to nerve damage and poor blood circulation. These issues can make the feet more prone to injury and infection. When wounds do occur, they may not heal properly, sometimes resulting in ulcers, which may even lead to amputations of the foot if not managed properly and timely. This is a serious complication of diabetes. In order to manage the ulcers efficiently, a scoring system can be used to assess the severity and guide the treatment modality accordingly. Methods This was a prospective, observational study, conducted at the Department of General Surgery of the Rajendra Institute of Medical Sciences (RIMS), Ranchi, over a period of six months. A total of 150 patients who were diagnosed with diabetic foot ulcers (DFUs) were recruited for the study using a consecutive sampling method. Data collection was done using a pre-tested questionnaire to collect demographic information, medical history, and ulcer characteristics. A clinical examination was done, and the Diabetic Ulcer Severity Score (DUSS) scoring system was used to assess the severity of ulcers based on pedal pulse, bone exposure, ulcer location, and number of ulcers. Data were analysed using IBM SPSS Statistics software (Version 26, IBM Corp., Armonk, NY) with descriptive statistics and chi-square tests. A p-value of less than 0.05 was considered statistically significant. Ethical approval was taken from the Institutional Ethics Committee of RIMS. Results The study included 78 male (52.0%) and 72 female patients (48.0%), with most participants (39.3%) falling in the 46-60 years age group. A significant proportion (57.3%) hailed from rural areas, and 46% had a diabetes duration exceeding 10 years. Ulcer characteristics revealed that 48% were deep, 51.4% had mild infection, and 42% exhibited mild ischemia.
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