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Table 6 Bivariate and multivariable analysis for factors associated with severity of DFU in selected referral hospitals in Uganda, November 2021 to January 2022 ( n= 117)

From: Factors associated with severity and anatomical distribution of diabetic foot ulcer in Uganda: a multicenter cross-sectional study

Variable

DFU

 

Bivariate analysis

 

Multivariable analysis

 
 

Less severe

n (%)

Severe

n (%)

c.PRR (95%CI)

p-value

a.PRR (95%CI)

p-value

Age

47 (40.2)

70 (59.8)

1.01(1.01–1.02)

0.003

1.02(1.01–1.03)

0.001

Age group in years

      

18–39

10 (21.3)

4 (5.7)

1

 

1

 

40–49

7 (14.9)

8 (11.4)

1.87(0.72–4.87)

0.202

2.5(0.91–6.91)

0.076

50–59

13 (27.7)

26 (37.1)

2.33 (0.99–5.52)

0.054

1.43(0.63–3.26)

0.397

60–69

12 (25.5)

13 (18.6)

1.82 (0.73–4.54)

0.199

1.67 (0.72–3.91)

0.234

70–95

5 (10.6)

19 (27.1)

2.77 (1.18–6.53)

0.020

3.023 (1.28–7.17)

0.012

Sex

      

Female

28 (59.6)

44 (62.9)

1

 

1

 

Male

19 (40.4)

26 (37.1)

0.95 (0.69–1.29)

0.724

-

-

Residence

      

Rural

34 (72.3)

53 (75.7)

1

 

1

 

Urban

13 (27.7)

17 (24.3)

0.95 (0.69–1.29)

0.724

-

-

Profession

      

Peasant farmer

28 (59.6)

42 (60.0)

1

 

1

 

Business/self employed

11 (23.4)

13 (18.6)

0.9 (0.6–1.37)

0.630

0.84 (0.43–1.66)

0.621

Non employed

7 (14.9)

9 (12.9)

0.94 (0.58–1.51)

0.790

1.02 (0.61–1.71)

0.939

Formerly employed

1 (2.1)

6 (8.6)

1.43 (1–2.05)

0.052

1.13 (0.5–2.53)

0.773

Level of education

      

No formal

3 (6.4)

12 (17.1)

1

 

1

 

Primary

29 (61.7)

40 (57.1)

0.73 (0.52–1)

0.052

0.58 (0.38–0.89)

0.011

Secondary

14 (29.8)

14 (20.0)

0.63 (0.4–0.98)

0.041

0.53 (0.29–0.97)

0.039

Tertiary

1 (2.1)

4 (5.7)

1 (0.6–1.66)

1.000

0.45 (0.18–1.17)

0.102

Religion

      

Muslim

4 (8.5)

9 (12.9)

1

 

1

 

Christian

43 (91.5)

61 (87.1)

0.8 (0.52–1.38)

0.506

0.9 (0.54–1.45)

0.629

Average monthly income in UgShs

      

< 10,000

15 (31.9)

21 (30.0)

0.73 (0.43–1.23)

0.234

0.42 (0.13–1.33)

0.142

10,000-100,000

16 (34.0)

14 (20.0)

0.58 (0.33–1.05)

0.071

0.39 (0.12–1.31)

0.128

100,001-500,000

14 (29.8)

22 (31.4)

0.76 (0.46–1.28)

0.303

0.47 (0.16–1.42)

0.181

500,001–1,000,000

1 (2.1)

9 (12.9)

1.13 (0.69–1.83)

0.635

0.8 (0.3–2.14)

0.650

Above 1 M

1 (2.1)

4 (5.7)

1

.

1

.

Smoking status

      

Non smoker

44 (93.6)

56 (80.0)

1

.

1

.

Ever smoked

3 (6.4)

14 (20.0)

1.47 (1.11–1.95)

0.007

1.08 (0.68–1.71)

0.751

Vegetables

      

Rarely

15(0.1)

29(0.2)

1

.

1

.

Daily

26(0.2)

32(0.3)

0.69 (0.20–2.37)

0.558

4.50 (0.68–1.68)

0.118

Usually

4(0.03)

1(0.01)

0.13 (0.01–1.26)

0.078

0.06 (0.00-0.86)

0.038

Occasionally

2(0.02)

8(0.1)

0.85 (0.38–1.88)

0.685

0.69 (0.28–3.06)

0.430

Carbohydrates

      

Rarely

6(0.1)

10(0.1)

1

.

1

.

Daily

33(0.3)

56(0.5)

0.15 (0.01–1.68)

0.123

0.18 (0.01–2.40)

0.193

Usually

4(0.03)

3(0.03)

0.45 (0.07–2.74)

0.386

1.08 (0.11–10.30)

0.946

Occasionally

4(0.03)

1(0.01)

1.02 (0.34–3.06)

0.974

1.43 (0.40–5.09)

0.581

Dorsum

      

No

26 (55.3)

27 (38.6)

1

.

1

.

Yes

21 (44.7)

43 (61.4)

1.32 (0.96–1.81)

0.086

1.32 (0.88–1.98)

0.176

Plantar

      

No

33 (70.2)

32 (45.7)

1

.

1

.

Yes

14 (29.8)

38 (54.3)

1.48 (1.1–2)

0.009

1.46 (0.89–2.38)

0.135

Number of locations for one Ulcer

      

1

29 (61.7)

30 (42.9)

1

.

1

.

2

14 (29.8)

15 (21.4)

1.02 (0.66–1.57)

0.938

0.52 (0.32–0.86)

0.011

3

4 (8.5)

22 (31.4)

1.66 (1.23–2.25)

0.001

0.57 (0.27–1.21)

0.145

4

0 (0.0)

3 (4.3)

1.97 (1.53–2.53)

< 0.001

0.72 (0.33–1.6)

0.421

Visual loss

      

Normal

8 (17.0)

18 (25.7)

1

.

1

.

Mild

7 (14.9)

14 (20.0)

0.96 (0.65–1.43)

0.853

0.55 (0.28–1.08)

0.084

Moderate

15 (31.9)

23 (32.9)

0.87 (0.61–1.26)

0.470

0.48 (0.29–0.78)

0.003

Severe

17 (36.2)

15 (21.4)

0.68 (0.43–1.06)

0.090

0.31 (0.17–0.54)

< 0.001

Neuropathy

      

Normal

16 (34.0)

8 (11.4)

1

.

1

.

Mild

3 (6.4)

8 (11.4)

2.18 (1.11–4.28)

0.023

3.4 (1.51–7.63)

0.003

Moderate

18 (38.3)

26 (37.1)

1.77 (0.95–3.29)

0.070

2.65 (1.34–5.23)

0.005

Severe

10 (21.3)

28 (40.0)

2.21 (1.21–4.03)

0.009

2.06 (0.96–4.43)

0.063

Peripheral Vascular Disease

      

No disease

35 (74.5)

41 (58.6)

1

.

1

.

Claudication

10 (21.3)

19 (27.1)

1.21 (0.87–1.7)

0.259

1.39 (0.88–2.2)

0.162

Gangrene

0 (0.0)

7 (10.0)

1.85 (1.51–2.28)

< 0.001

1.26 (0.71–2.24)

0.424

DVT

2 (4.3)

3 (4.3)

1.11 (0.53–2.35)

0.781

1.74 (0.44–6.89)

0.433

Hba1C 6.5%, n (%)

      

Less than 6.5%

14 (29.8)

13 (18.6)

1

.

  

6.5 and above

33 (70.2)

57 (81.4)

1.32 (0.86–2.01)

0.205

-

-

Blood Pressure class

      

Normal

19 (40.4)

28 (40.0)

1

.

1

.

Hypertension

28 (59.6)

41 (58.6)

1 (0.73–1.36)

0.987

1.05 (0.64–1.73)

0.851

Hypotension

0 (0.0)

1 (1.4)

1.68 (1.33–2.13)

< 0.001

1.93 (0.56–6.64)

0.296

Size of DFU in cm

      

1 to 5

34 (72.3)

22 (31.4)

1

.

1

.

5 to 10

13 (27.7)

29 (41.4)

1.76 (1.2–2.58)

0.004

1.51 (1.01–2.27)

0.047

Over 10

0 (0.0)

19 (27.1)

2.55 (1.84–3.53)

< 0.001

2.46 (1.38–4.39)

0.002

  1. UgShs: Ugandan shillings; 1US dollar ($) = 3800ugShs (01, September, 2022); M: million; DVT: Deep venous thrombosis, CPPR: crude prevalence risk ratio, APPR: adjusted prevalence risk ratio