Trujillo PPM, George AM, Valdés MY, Ortega SJR, Mendoza MA

Language: Spanish
References: 0
Page: 63-71
PDF size: 241. Kb.

ABSTRACT

Introduction: diabetes mellitus is acknowledged as a worldwide threat. The early identification of the risk factors associated with the appearance of ulcers in people with diabetes mellitus is crucial to avoid future amputations. Objective: to describe the results of the Comprehensive Diabetic Foot Care Program. Method: a descriptive, retrospective, cross-sectional study of 567 diabetic patients who attended consultation was conducted at the Manuel Piti Fajardo Polyclinic in Santo Domingo from January 2010 to December 2017. The sample consisted of two groups: 225 patients who were treated with heberprot-p and 342 who presented a risk foot. Results: from 2010 to 2017, the proposal of the program was increased by 69.3%. Of the 225 patients who were treated with heberprot-p, 87.1% had a satisfactory evolution. The proportion of amputation in the period was 19.15% (from 2016 to 2017 it was 0%). Patients with relapses share modifiable risk factors. Diabetic foot ulcers are detected in early stages, which reduces the number of applications of heberprot-p by patients (between six and seven vials); the average cost also decreased. The patients with a risk foot were 342: 16.2% with low risk, 26.4% with moderate risk, 20.6% with high risk and 36.8% with no risk. Conclusions: the heberprot-p therapy was effective, as well as the timely treatment of diabetic patients with a risk foot in order to reduce the incidence of injuries.