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Comaparative Study of Neutrophil Lymphocyte Ratio in Diabetic Patients with Foot Ulcer and without Foot Ulcer

Sanganabasappa, Junior Resident, Department of Medicine, S Nijalingappa Medical College, HSK (Hanagal Shree Kumareshwar) Hospital and Research Centre, Bagalkot, Karnataka 587102, India. , S.M. Goornavar1 , Sanganabasappa2

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Indian Journal of Medical and Health Sciences 5(1):p 11-16, January- June 2018. | DOI: https://dx.doi.org/10.21088/ijmhs.2347.9981.5118.2

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Abstract

Objective: Diabetes, is fast growing the status of potential epidemic in India with more than 62 millions diabetic individuals currently diagnosed with disease [1]. Over 85% of lower limb amputations are preceded by foot ulcer and diabetes remains the major cause of non-traumatic amputation across the world with rates being as much as 15 times higher than in non-diabetic population.

Method:  Diabetic patients aged above 18 years with(cases) and without (controls) foot ulcer admitted in H.S.K Hospital during the study period i.e., from 1st Janvary 2016 to 30th June 2016.

Statistical analysis: Data was analyzed statistically by Mean, Standard Deviation, proportions, Chi square test and other relevant statistical tests using SPIS Softwares. 

Result: There is statistically significant correlation between DFU and NLR with a p value 0.000 which shows high level of significance.

Conclusion: NLR can be directly calculated from the neutrophil and lymphocyte counts  and can be easily be obtained from a complete blood cell count on admission and during follow up. Thus increasing values of NLR during follow up can be used to predict sub clinical inflammation and impending complications like DFU. 

Keywords: Neutrophil to Lymphocyte Ratio, Diabetic Foot Ulcer

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DOI: https://dx.doi.org/10.21088/ijmhs.2347.9981.5118.2

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