Prevalence and determinants of diabetic polyneuropathy and diabetic foot complications in a specialized clinic

Almeida, Marcos Oliveira Pires de; Santos, Leyna Leite; Lima, Denise Dantas; Cavalcanti, Taciana Borges; Aleixo, Amanda Sarita Cruz; Almeida, Vanessa Silva de; Dantas, Diego de Sousa; Silva, Bárbara Bernardo; Brito, Evandro Cabral de; Magalhães, Paulo

doi:10.1186/1758-5996-7-s1-a42

Cited by 1 publication

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“…A stratification in risk levels after arterial and neurological examinations on DM patients is recommended, so as to correctly apply the adequate actions for each group, aiming at implementing direct preventive measures for DFU [5, 8, 32, 33]. In this study, adopting the classification proposed by IWGDF, only 28.2% of the participants were put on risk level 0, which is a frequency close to that in the study of Almeida et al (27.8%) [18]. A particular study [14], which did not abide by the present directives of the ABI [5, 8, 21], observed a prevalence of individuals in low risk (risk level 0), varying from 56.0% to 79.8%.…”

Section: Resultssupporting

confidence: 49%

“…Previously diagnosed systemic arterial hypertension (SAH) has also been found to be prevalent in DM patients in this study. It must also be noted that SAH is considered a risk factor for the development of other cardiovascular diseases and for microvascular impairment, which may then lead to peripheral neuropathy, retinopathy, and nephropathy [8, 16–18].…”

Section: Resultsmentioning

confidence: 99%

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Risk Factors and Diagnosis of Diabetic Foot Ulceration in Users of the Brazilian Public Health System

Cardoso

Zara

Rosa

et al. 2019

Journal of Diabetes Research

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Background. An individual with diabetes mellitus (DM) has an approximately 25% risk of developing ulcerations and/or destruction of the feet’s soft tissues. These wounds represent approximately 20% of all causes of hospitalizations due to DM. Objective. To identify the factors for the development of diabetic foot ulceration (DFU) among individuals treated by the Brazilian public health system. Methods. This cross-sectional study was conducted on individuals with diabetes mellitus, aged above 18 years, of both sexes, and during July-October 2018 within a public healthcare unit in Brazil. All participants were assessed based on their socioeconomic, behavioral, and clinical characteristics, along with vascular and neurological evaluations. All participants were also classified according to the classification of risk of developing DFU, in accordance with the International Working Group on the Diabetic Foot (IWGDF). Statistical analyses were conducted using the chi-squared test, chi-squared test for trend, and Fisher’s exact test, with a significance level of 5% (p<0.05). Results. The study consisted of 85 individuals. The DFU condition was prevalent in 10.6% of the participants. Adopting the classification proposed by IWGDF, observed risks for stratification categories 0, 1, 2, and 3 were 28.2%, 29.4%, 23.5%, and 8.2%, respectively. A statistically significant (p<0.05) association was observed between the development of DFU and the following variables: time since the diagnosis of diabetes and the appearance of the nails, humidity, and deformations on the feet. Conclusion. The present study found an elevated predominance of DM patients in the Brazilian public health system (SUS) featuring cutaneous alterations that may lead to ulcers; these individuals had elevated risks of developing DFU. Furthermore, it was revealed that the feet of patients were not physically examined during treatment.

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