2021, Number 1
Clinical complications in patients admitted for diabetic foot in the Institute of Angiology
Language: Spanish
References: 41
Page: 1-15
PDF size: 453.57 Kb.
ABSTRACT
Introduction: Diabetic foot is considered a critical health concern worldwide, as long as it is the leading cause of nontraumatic amputation and the increased rates of mobility and mortality, as well as for having negative socioeconomic consequences to the patient.Objective: To identify clinical complications in patients admitted for diabetic foot to the National Institute of Angiology and Vascular Surgery.
Methods: A cross-sectional descriptive-retrospective study was carried out in 102 patients with type 2 diabetes and admitted in 2019 to the diabetic angiopathy service of the National Institute of Angiology and Vascular Surgery, for having a diagnosis of diabetic foot. The variables under study were age, sex, type of diabetes mellitus and its time of evolution, type of diabetic foot, surgery performed, and presence and type of clinical complications. The absolute and relative frequencies were calculated.
Results: There was a prevalence of the male sex, the age group between 61 and 70 years, and the patients with more than ten years of evolution of diabetes mellitus. Wagner’s grades 2 and 3 diabetic foot and neuroinfectious diabetic foot were the most frequent. The most performed surgery was finger amputation, so the level of minor amputation predominated, followed by surgical debridements. The complications that showed frequencies of more than 20% were anemia, hyperglycemia, and bronchopneumonia.
Conclusions: The most frequent complications in patients admitted for diabetic foot were anemia, hyperglycemia, and bronchopneumonia.
REFERENCES
Cosentino F, Grant PJ, Aboyans V, Bailey CJ, Ceriello A, Delgado V, et al. 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD The Task Force for diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and the European Association for the Study of Diabetes (EASD). Eur Heart J. 2020;41:255-323. DOI: https://doi.org/10.1093/eurheartj/ehz486
Montalvo RP, Vicente S, Comanfes A, Cases Pérez C, Ansuátegui M, González JA. Impacto del nivel socio-económico en las amputaciones mayores de miembros inferiores. Servicio de Angiología y Cirugía Vascular. Hospital Universitario "12 de Octubre", Madrid, España. Angiología. 2017;69(6):337-41. DOI: https://www.researchgate.net/scientific-contributions/A-Comanges-Yeboles-2112087740
Bakker K, Apelqvist J, Lipsky Ba, Van Netten JJ. International Working Group on the Diabetic Foot. 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes Metab Res Rev. 2016;32(suppl 1):2-6. DOI: https://doi.org/10.1002/dmrr.2694
Hingorani A, LaMuraglia GM, Henke P, Meissner MH, Loretz L, Zinser KM, et al. The management of diabetic foot: A clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine. J Vasc Surg. 2016;63:3S-21S. DOI: https://doi.org/10.1016/j.jvs.2018.10.036
Yusof NM, Rahman JA, Zulkifly AH, Che-Ahmad A, Khalid KA, Sulong AF, et al. Predictors of major lower limb amputation among type II diabetic patients admitted for diabetic foot problems. Singapore Med J. 2015 [acceso 01/03/2020];56(11):626-31. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26668408
Arambewela MH, Somasundaram NP, Jayasekara HBPR, Kumbukage MP, Jayasena PMS, Chandrasekara CMPH. Prevalence of chronic complications, their risk factors, and the cardiovascular risk factors among patients with type 2 diabetes attending the diabetic clinic at a tertiary care Hospital in Sri Lanka. J Diabetes Res. 2018;(4504287):1-7. DOI: https://doi.org/10.1155/2018/4504287
Nonell Martínez L, Valdés Pérez C, Quintela Pena AM. Caracterización de pacientes amputados de miembros inferiores por causas vasculares en el municipio Cerro [Tesis para optar por el título de especialista de I grado en Angiología y Cirugía Vascular]. La Habana: Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas "Dr. Salvador Allende". Instituto Nacional de Angiología y Cirugía Vascular; 2018.
Shatnawi NJ, Al-Zoubi NA, Hawamdeh HM, Khader YS, Garaibeh K, Heis HA. Predictors of major lower limb amputation in type 2 diabetic patients referred for hospital care with diabetic foot syndrome. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy; 2018 [acceso 25/05/2020];11:313-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29950877
González de la Torre H, Mosquera Fernández A, Quintana Lorenzo ML, Perdomo Pérez E, del Pino Quintana Montesdeoca M. Clasificaciones de lesiones en pie diabético. Un problema no resuelto. Gerokomos. 2012 [acceso 26/06/2020];23(2):75-87. Disponible en: http://scielo.isciii.es/pdf/geroko/v23n2/helcos1.pdf
Duque Cañizares OL, Valdés Naranjo Y. Caracterización del paciente amputado por pie diabético. Hospital Universitario "General Calixto García Íñiguez" [Tesis para optar por el título de especialista de I grado en Angiología y Cirugía Vascular]. La Habana: Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas "General Calixto García Íñiguez"; 2017.
Dousdampanis P, Trigka K, Fourtounas C. Prevalence of anemia in patients with type II diabetes and mild to moderate chronic kidney disease and the impact of anti-RAS medications. Saudi J Kidney Dis Transpl. 2014 [acceso 03/12/2015];25(3):552-7. Disponible en: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2014;volume=25;issue=3;spage=552;epage=557;aulast=Dousdampanis
Triana Mantilla ME, Zapata Vinent JA, Ameneiro Pérez S, Pol Marrón N, Llanes Barrios JA. Comportamiento de la hemoglobina glucosilada en diabéticos tipo 2 con macroangiopatía de los miembros inferiores. Rev Cubana Angiol y Cir Vasc. 2015 [acceso 21/03/2020];16(2):154-63. Disponible en: http://scielo.sld.cu/pdf/ang/v16n2/ang04215.pdf
Shtofmakher G, Kilfoil RL Jr, Rozenstrauch A, Rothstein M, Weintraub M. Diabetic lower extremity complications, fear of falling and associated HbA1c levels: A cross-sectional study of the East Harlem population. Diabetes Metab Syndr. 2016 Jun 16. pii:S1871-4021(16)30068-6. PMID: 27345773. DOI: https://doi.org/10.1016/j.dsx.2016.06.010
Triana Mantilla ME, Fernández Montequín JI, Mahía Vilas M, García Pérez AL, Zapata Vinent JA. Relación entre las inmunoglobulinas glicosiladas y la infección post- quirúrgica en pacientes diabéticos. Estudio preliminar. Rev Cubana Angiol Cir Vasc. 2010 [acceso 30/05/2020];11(1):101-7. Disponible en: http://bvs.sld.cu/revistas/ang/vol11_01_10/ang11110.pdf
Abascal Cabrera M, González Rubio R, La Rosa Domínguez A, Ulloa Quintanilla F. Repercusión de la bronconeumonía en la mortalidad hospitalaria. Rev Cubana Med Mil. 2001 Abr-Jun [acceso 15/05/2020];30(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S013865572001000200005&nrm=is
León-Chahua C, Oscanoa-Espinoza T, Chávez-Gutiérrez C, Chávez-Gutiérrez J. Características epidemiológicas de la neumonía intrahospitalaria en un servicio de medicina interna del Hospital Guillermo Almenara Irigoyen de Lima, Perú. Horiz. Med. 2016 Jul-Sep [acceso 30/05/2020];16(3). Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1727-558X2016000300007