Abstract

Objective: This study aimed to determine the reamputation prevalence among diabetic patients at King Abdulaziz University Hospital in Jeddah, Saudi Arabia.
Methods: A retrospective study was conducted on patients amputated due to diabetes complications, where data about first, second, and third reamputation, clinical characteristics, demographics, risk factors, diabetes complications, and outcome were collected.
Results: The mean age of patients was 62.16 ± 12.91 years, 43.5% were in insulin therapy, and 62.8% had uncontrolled diabetes. The most common risk factors were ulcers (13%), and peripheral arterial disease was the most common diabetes complication. The overall reamputation rate was 31.1%, where the ipsilateral amputation was the most common type of first, second, and third reamputation. Below-knee reamputation was common in the first and third reamputation, whereas above-knee reamputation was the most common in the second reamputation. Ulcer was the common cause of the first reamputation, while infection was the common cause of the second and third reamputation.
Conclusion: Improved diabetes management and foot care multi-sectoral efforts should be increased at an early stage of the disease to reduce the rate of reamputation.

Key words: Prevalence, reamputation, diabetic, patients, Jeddah, Saudi Arabia.