Tapia-Rangel JC, Ruiz-Mercado H, Ochoa-González FJ, Hernández-Nieto BI

Language: Spanish
References: 12
Page: 9-13
PDF size: 156.06 Kb.

ABSTRACT

Background. Diabetic foot is one of the most frequent and devastating problems of diabetes mellitus which can result in the loss of a limb and it is the cause of 50% of all non-traumatic amputations. The purpose of this study is to try to justify the need for diabetic foot clinic in order to reduce the risk of amputation.
Objective. To investigate the incidence rate of amputation and mortality in patients with diabetic foot lesions during a 3 years period.
Material and methods. Retrospective cohort study. 326 medical records of patients with diabetic foot lesions were reviewed gathering: risk factors, type of injury, percentage of major amputations and mortality were analyzed, using statistical package SPSS20.
Results. Of the 326 medical records , were female 149 (45.7%) and were male 177 (54.2%) with a mean in age of 66.96 ± 9.07 and with the following risk factors: hypertension in 246 (75.4%), smoking in 186 (57.0%), dyslipidemia in 122 (37.4%); chronic peripheral arterial disease in 113 (34.6); obesity 118 (36.1%); CAD 62 (19.0%); Charcot arthropathy 46 (14.4%), chronic renal failure 38 (11.6%) and cardiac arrhythmias 27 (8.28%) mortality was 30 (9.20%). Wagner and Leriche Fontaine scale was used. Surgical treatment: 222 (68.09%). Debridement and minor amputations and 104 (31.90%) major amputation.
Conclusions. These results show a high proportion of major amputations, which justify the creation of more clinics that can provide comprehensive and urgent care of diabetic foot.

REFERENCES

1. Mendoza-R MA, Ramírez-A MC. Abordaje multidisciplinario del pie diabético. Rev Med Endocrinología y Nutrición 2005; 13(4): 165-79.

2. Johannes A, Larsson GU, Ramstrand N, Turkiewicz A, Wiréhn BA, Atroshi I. Incidence of lower-limb amputation in the diabetic and non-diabetic general population. Diabetes Care 2009; 32: 275-80.

3. Martínez-J FR, Sosa CA. Edad y lesión contralateral en amputaciones secundarias por pie diabético. Rev Med IMSS 2001; 39: 445.

4. Alpízar-S M, Pizaña-B JA, Zárate-A A. La diabetes mellitus en el adulto mayor. Rev Med IMSS 1999; 37(2): 117-25.

5. Wild S, Roglic G, Green A, Sicree R, King H. Global Prevalence of Diabetes. Diab Care 2004; 27(5): 1047-53.

6. Cueva-A V, Mejía-M J. Complicaciones del pie diabético: Factores asociados. Rev Med IMSS 2003; 41(2): 97-104.

7. Rosas GJ, Zacarías CR. Consenso en Prevención de Complicaciones Crónicas de la Diabetes Mellitus Tipo 2. Rev Med de Endocrinología y Nutrición 2004; 12(5): S45-S49.

8. Martín-F M, Herranz-M L, Martín-B Va, Sáez-I L, Puma- D MA, Pallardo-S LF. Factores de riesgo de complicaciones vasculares en extremidades inferiores en los pacientes con diabetes. Med Clin (Barc) 2011; 136(9): 371-5.

9. Martínez-J FR, Mendiola SI, Ramos CF. Epidemiología y costos de atención del pie diabético. En: Pie diabético, atención integral. 2a Ed. México: McGraw-Hill; 2004, p. 5-18.

10. Lipsky BA, et al. Diagnosis and treatment of diabetic foot infections. Clinical Infectious Diseases 2004; (39): 885-910.

11. Setacci C, et al. Diabetic foot: Surgical Approach in Emergency. International Journal of Vascular Medicine 2013; 7. Disponible en: http://dx.doi.org/10.1155/2013/ 296169.

12. Oyibo OS, Jude BE, Tarawneh I, Nguyen CH, Harkless BL, Boulton JMA. A comparison of two diabetic foot ulcer classification systems. Diab Care 2001; 24(1): 84-8.