Factores asociados con el ingreso hospitalario de pacientes diabéticos con ulceración en el pie

Real, José T.; Valls, Manuel; Ascaso, Pilar; Basanta, María Luisa; Viguer, Ángeles; Ascaso, Juan F.; Carmena, Rafael

doi:10.1016/s0025-7753(01)72209-9

Cited by 9 publications

(4 citation statements)

References 18 publications

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“…Many factors have been mentioned as risk factors in the development of retinopathy in diabetic patients. The most important ones include older age, higher hemoglobin A1c (HbA1c) level, duration of diabetes, hypertension, high body mass index, smoking, poor blood glucose control, pregnancy, and high blood cholesterol 11, 12, 13. The most effective treatment to prevent the progression of diabetic retinopathy is “prevention”.…”

Section: Introductionmentioning

confidence: 99%

Determining the Prevalence of Retinopathy and Its Related Factors among Patients with Type 2 Diabetes in Kerman, Iran

Valizadeh

Moosazadeh

Bahaadini

et al. 2016

Osong Public Health and Research Perspectives

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ObjectivesTo determine the prevalence of retinopathy and its associated factors in diabetic patients referred to a diabetes center in an Iranian city.MethodsThis was a cross-sectional, descriptive–analytical study in which a researcher-made checklist was used to collect the data of patients with type 2 diabetes in 2015. The statistical population consisted of 11,770 health records of diabetic patients registered in a second-level diabetes center. Of the 11,770 health records, 206 records with the most complete data about patients with type 2 diabetes were selected through census method. Chi-square test and logistic regression through SPSS were used for data analysis.ResultsIn this study, 93/206 diabetic patients (45.1%) had retinopathy. Female sex, age over 60, lower education level, being housewife, family history of having diabetes, longer years of having the disease, and higher level of hemoglobin A1c (HbA1c) were associated with higher risk of retinopathy. However, the association was statistically significant only for the HbA1c level (p ≥ 0.05).ConclusionAccording to this study, HbA1c level is a predictor of diabetes complications. Therefore, it is necessary for health authorities to improve diabetes management through different strategies to prevent complications to control blood sugar effectively.

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Section: Introductionmentioning

confidence: 99%

Determining the Prevalence of Retinopathy and Its Related Factors among Patients with Type 2 Diabetes in Kerman, Iran

Valizadeh

Moosazadeh

Bahaadini

et al. 2016

Osong Public Health and Research Perspectives

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“…Real et al 118 . reported a higher Wagner grade to be associated with hospital admission on univariate analysis, but this was not an independent factor in multivariate analysis.…”

Section: Resultsmentioning

confidence: 93%

“…Real et al 118 reported a higher Wagner grade to be associated with hospital admission on univariate analysis, but this was not an independent factor in multivariate analysis. Two studies out of three studies, 19,44,119 mostly at low risk of bias, reported an increase in inhospital mortality in ulcers with higher Wagner grade, one on univariate analysis (from Rubio et al 44 ) and one on multivariate analysis (from Adeleye et al 119 ).…”

Section: Stage/mentioning

confidence: 91%

Classification of foot ulcers in people with diabetes: A systematic review

Monteiro‐Soares

Hamilton

Russell

et al. 2023

Diabetes Metabolism Res

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BackgroundClassification and scoring systems can help both clinical management and audit the outcomes of routine care.AimThis study aimed to assess published systems used to characterise ulcers in people with diabetes to determine which should be recommended to (a) aid communication between health professionals, (b) predict clinical outcome of individual ulcers, (c) characterise people with infection and/or peripheral arterial disease, and (d) audit to compare outcomes in different populations. This systematic review is part of the process of developing the 2023 guidelines to classify foot ulcers from the International Working Group on Diabetic Foot.MethodsWe searched PubMed, Scopus and Web of Science for articles published up to December 2021 which evaluated the association, accuracy or reliability of systems used to classify ulcers in people with diabetes. Published classifications had to have been validated in populations of >80% of people with diabetes and a foot ulcer.ResultsWe found 28 systems addressed in 149 studies. Overall, the certainty of the evidence for each classification was low or very low, with 19 (68%) of the classifications being assessed by ≤ 3 studies. The most frequently validated system was the one from Meggitt‐Wagner, but the articles validating this system focused mainly on the association between the different grades and amputation. Clinical outcomes were not standardized but included ulcer‐free survival, ulcer healing, hospitalisation, limb amputation, mortality, and cost.ConclusionDespite the limitations, this systematic review provided sufficient evidence to support recommendations on the use of six particular systems in specific clinical scenarios.

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“…Se ha calculado que más del 50% de los pacientes ancianos con diabetes mellitus tipo 2 (DM) tiene factores de riesgo para la ulceración del pie, y que el 5% tiene antecedente de alguna úlcera. Actualmente, en los países occidentales es la primera causa de amputación no traumática de miembros inferiores181 . El llamado «pie diabético» es el resultado de la coexistencia de neuropatía y vasculopatía (que favorecen la aparición de lesiones hísticas) e infección, y puede progresar a situaciones tan graves como la gangrena182 .…”

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Estudio epidemiológico de patología dermatológica en el anciano y calidad de vida relacionada con la salud.

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Quiero expresar mi más sincero agradecimiento a todas las personas que de manera directa o indirecta, han hecho posible la realización de este trabajo. A mi Directora, Dra. Dña Rosa Giménez, mi maestra en el campo de la dermatología, por todo lo que me ha enseñado, por su apoyo constante, por creer en mí, y por haber sido una amiga todos estos años. A mi Director, Dr. D. Juan Carlos Martín Escudero, que me enseñó el arte de escribir una tesis, por todo el tiempo dedicado a sugerir, revisar y corregir, en especial, todos los aspectos relacionados con la Calidad de Vida.

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Factores asociados con el ingreso hospitalario de pacientes diabéticos con ulceración en el pie

Cited by 9 publications

References 18 publications

Determining the Prevalence of Retinopathy and Its Related Factors among Patients with Type 2 Diabetes in Kerman, Iran

Determining the Prevalence of Retinopathy and Its Related Factors among Patients with Type 2 Diabetes in Kerman, Iran

Classification of foot ulcers in people with diabetes: A systematic review

Estudio epidemiológico de patología dermatológica en el anciano y calidad de vida relacionada con la salud.

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