2016, Number 2
Effectiveness of the use of the Comprehensive Evaluation Record on the affected patient with diabetic foot (REIPD in spanish)
Language: Spanish
References: 9
Page: 165-171
PDF size: 153.75 Kb.
ABSTRACT
Introduction: The treatment of diabetic foot with Heberprot-P requires an increasing information input of its processes. In Cuba, so far, there is only the antecedent of Registry for Diabetic Foot Comprehensive Evaluation (REIPD), by the same authors, but it is not specific for Heberprot-P treatment. Objective: Confirm the usefulness of the Comprehensive Evaluation Record of patients treated with Heberprot-P (REIPROT). Methods: The instrument was elaborated from the following stages: search and analysis of international and national instruments, revision of the main risk factors, and formation of the structure and determination of the classification proposal. The functional relationship of the instrument was studied using the Kaiser-Meyer-Okin sampling adequacy measure, the Bartlett sphericity test and the simple linear regression model. Expert judgment was used in the last three stages. Information Input required a Model Vista Controller pattern. C # was used as programming language, Sharp Developer 4.2 as development IDE and Postgre SQL 9.2 as database manager. Results: The performed parametric tests found impossible to perform a reduction of variables. In Wilcoxon test, Z values were obtained close to -7, with high degree of significance. Pearson correlation index and the coefficient of determination in relation to the total value with Heberprot-P dose and the surgical intervention were considered satisfactory, especially the latter, which showed a favorable correlation between the value of the instrument and the amputation risk. Conclusion: The integration of REIPROT into the Comprehensive Care Program for Patients with Diabetic Foot Ulcer (PAIPUPD) should favor the efficacy of the diabetic foot diagnosis and treatment process with Heberprot-P, thus reducing the risk of amputation.REFERENCES
Soldevilla JJ. Presentación del documento nacional de consenso sobre úlceras de la extremidad inferior (CONUEI): La historia continua. Anal Patol Vasc. 2009 [citado 10 sep 2011];3(1):37-45. Disponible en: http://www.nexusmedica.com/web/sumario_anteriores.php?Ano=2009&Numero=1 &id_revista=668&fano=2009&fnumero=1&ffemede=&sol=1
Prompers L, Schaper N, Apelqvist J, Edmonds M, Jude E, Mauricio D, et al. Prediction of outcome in individuals with diabetic foot ulcers: focus on the differences between individuals with and without peripheral arterial disease. The EURODIALE Study. Diabetol. 2008 [cited 13 sept 2013 ];51(5):747-55. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2292424