Factores de riesgo asociados a amputación en pacientes con pie diabético en el Hospital Universitario de Santander
Diabetes mellitus incrementa el riesgo de amputación en miembros inferiores. Se han estudiado diferentes factores de riesgo con el objetivo de establecer asociación con la amputación en pacientes con pie diabético. 2,3,4,5,6,7. El objetivo fue determinar cuáles factores de riesgo se encontraban asoc...
- Autores:
-
Cepeda Jordan, Ricardo
- Tipo de recurso:
- http://purl.org/coar/version/c_b1a7d7d4d402bcce
- Fecha de publicación:
- 2016
- Institución:
- Universidad Industrial de Santander
- Repositorio:
- Repositorio UIS
- Idioma:
- spa
- OAI Identifier:
- oai:noesis.uis.edu.co:20.500.14071/35368
- Palabra clave:
- Pie Diabético
Amputación
Wagner
Hemoglobina
Glicosilado Description:
Introduction. Diabetes mellitus increases the risk of amputation in lower limbs. We have studied different risk factors with the aim of establishing partnership with amputation in patients with diabetic foot. 2
3
4
5
6
7. the objective was to determine which risk factors associated met with amputation in patients with diabetic foot. Hypothesis: patients with hemoglobin-glycosylated > 8% and > 65 years had an increased risk of amputation. Materials and methods. Analytical
observational
cross-sectional study. 72 patients with a diagnosis of diabetic foot supported by emergency room of the University Hospital of Santander 2013 to 2015
follow-up for 6 months. Results. The prevalence of amputation between 2013 to 2015 was 72% with 52 cases
amputation higher (67%) 35 cases
amputation lowest (33%) 17 cases. Amputation in patients > 65 years was associated with the female gender OR 5 CI (1-25) q: 0.039
glycosylatedem hoglobin > 10% OR: 1.6 (1
3-2
1) IC and Wagner v
OR 1.7 IC (1
3-2
2)
with peripheral arterial disease Occlusive OR:4 IC (1
1-14). LLA amputation in patients < 65 years was associated with levels of glycosylated hemoglobin < 6% OR 6.4 CI (1
5-26). levels of glycosylated hemoglobin < 6% were constituted in a protective factor for amputation patients < 65 years OR more: 0.1 IC (0
02-0
4). the proportion of mortality in the Group of amputees was 25% and in the Group of non-amputated 10%. conclusions. Amputation associated with age > 65 years
female gender
glycosylated hemoglobin > 10%
Wagner V
and peripheral arterial Occlusive Disease. Patients come late to the health system with complications of difficult management and advanced stages and glycosylated hemoglobin levels > 10%. These aspects influence survival. Key words: diabetes
complications
diabetic foot and its complications
management
treatment
amputation
- Rights
- License
- Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)