DM And Low Immunity Among Elderly Patients, Systemic Review In KSA
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Arwa Amer Alsaiari, Hoor Khalid Ghandorah, Saad Mohammed Almasari, Ajfan Khalid Mogharbel, Noura Shawki Saati
Dalia Faisal Rowaihy, Arwa A Alomayrini, Taif Nasser Alharrani, Joza halban alotaibi and Abeer eid almueahy
Abstract
Actually there is currently no universally recognized age threshold to define the term "old people," the majority of developed nations have recognized and reported that the age of 65 is a definition of elderly people, primarily as a construct equivalent to the traditional retirement age. Furthermore, the notion of elder patients might be better defined by a person's active participation in society or other socially constructed markers rather than by age. Furthermore, a cut-off definition of 65 years and older was used in the majority of earlier research. This present study will evaluate the scenario in terms of life style related factors and trends of DM in elderly patients in KSA. Study will be based on previous studies conducted in the period of 2015 to 2024.
Keywords :
Diabetes Mellitus, Elderly pateints, KSA..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty