2013, Number 2
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ABSTRACTIntroduction: The diabetic foot has been associated with substantial morbidity and mortality in diabetic patients. The anklebrachial index is a simple diagnostic method for peripheral arterial disease. Objective: to evaluate the usefulness of ankle-brachial index physical and known risk factors in the development of diabetic foot.
Methods: In a case-control study, we studied 60 diabetic patients between 20 and 70 years old who were divided according to the presence of diabetic foot (cases), controls were assigned for patients without injury to their feet or other morbidities. The variables studied included: glucose, cholesterol, triglycerides, body mass index, blood pressure, ankle-brachial index physical exercise, smoking and alcoholism.
Results: Mean age was in 55 years for cases and 56 for controls (p = 0.548), with an average of disease progression 15 years for both groups. No differences in metabolic variables were found. A history of smoking (OR = 4.8, 95% CI = 1.50 to 15.80, p = 0,006) and an ankle-brachial index ≤ 0.9 left (OR = 10.6, 95% CI = 1.80 to 55.60, p = 0.004) or right (OR = 5.2, 95% = 1.16 to 24.00, p = 0.049) were associated with development of peripheral arterial disease. Instead, the exercise proved to be a protective factor.
Conclusions: The ankle-brachial index, should be available in the clinical of primary care for the study of arterial circulation of the lower limbs, especially in patients with diabetes mellitus of medium and long evolution and/or risk factors cardiovascular.
Blanes JI, Representatives of Spanish Society of Surgeons (ACS), Representatives of Spanish Society of Angiology and Vascular Surgery (SEACV), Representatives of Spanish Society of Emergency Medicine (SEMES), Spanish Internal Medicine Society (SEMI), Representatives of Spanish Society of Critical Care Medicine and Coronary Units (SEMICYUC), et al. Consensus document on treatment of infections in diabetic foot. Rev Esp Quimioter 2011;24(4):233-262.