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2016, Number 1

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Revista Cubana de Angiología y Cirugía Vascular 2016; 17 (1)

Identification of the risk factors for the development of the neuropathic ulcerated wounds

García HAL, Febles SR, Moliner CM

Language: Spanish
References: 35
Page: 13-24
PDF size: 177.49 Kb.


ABSTRACT

Introduction: The diabetic foot is a chronic complication of diabetes mellitus that represents a health problem due to the high economic cost for the health care services and the social and emotional effects on the people suffering the disease and their family environment.
Objective: To identify the risk factors leading to ulcerated neuropathic lesions.
Methods: A descriptive and retrospective study conducted in 109 diabetic patients, regardless of sex and type of diabetes, who were diagnosed as 2nd and 3rd degree ulcerated neuropathic diabetic foot according to Wagner classification, and admitted to the Angiology and Vascular Surgery Service of Matanzas province. It was conducted from January 2010 to May 2014.
Results: The following risk factors were determined: diabetic neuropathy, callus/hyperkeratosis, wearing wrong shoes; they were mostly associated to inappropriate foot care. The number of risk factors ranged six to seven per patient. In line with the aforementioned, the risk stratification showed a high frequency of patients with risk degree level 3.
Conclusions: The presence of diabetic neuropathy, callus/hyperkeratosis, and wearing inappropriate shoes are the most frequent risk factors associated with the occurrence of neuropathic foot ulceration in the studied population.


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