Incidence of Amputation Among Displaced Diabetic Patients During the Sudan War 2024: A Cross-Sectional Study at New Halfa Hospital

Diabetic foot complications are a leading cause of non-traumatic amputations globally, with disproportionate impact in conflict-affected regions. This study investigates the socio-demographic, clinical, and healthcare disparities among diabetic amputees treated at New Halfa Hospitals during the Sudan conflict. A cross-sectional comparative analysis was conducted on 147 diabetic amputees, stratified by displacement status. Data were collected on socio-economic indicators, clinical presentation, amputation type, healthcare access, and post-operative outcomes. Statistical significance was assessed using chi-square and t-tests. Displaced patients constituted 54.8% of the cohort and exhibited significantly poorer socio-economic conditions, including higher rates of unemployment (87.8%) and lack of formal education (45.1%). Clinical severity was greater among displaced individuals, with higher prevalence of infection (77.2%), osteomyelitis (38.3%), and below-knee amputations (91.9%). Access to medication and follow-up care was markedly limited, with 99.6% reporting medication shortages and 70.5% lacking follow-up. Insulin use was significantly lower among displaced patients (3.4% vs. 12.7%). Post-operative complications were more frequent in this group, particularly infection and poor healing. Displacement status is a critical determinant of diabetic amputation outcomes in conflict settings. The study highlights systemic healthcare disparities, delayed presentation, and inadequate post-operative care among displaced populations. These findings underscore the need for targeted humanitarian interventions, integrated chronic disease management, and policy reform to mitigate preventable limb loss and improve quality of life for vulnerable groups.