Risk factors for ulceration and amputation in patients with diabetic foot at risk: results form a tertiary care center

Fiore, Adriana Russo; Moura, Arnaldo Vieira; Daniel, Karla Borges; Minicucci, Walter José; Wittmann, Denise Engelbrecht Zantut; Tambascia, Marcos Antônio; Pavin, Elizabeth João; Parisi, Maria Cândida Ribeiro

doi:10.1186/1758-5996-7-s1-a18

Cited by 3 publications

(3 citation statements)

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“…La relación entre valores de presión arterial y ocurrencia de amputación en pacientes diabéticos se ha reportado en varias series 24,25 . En el estudio de Fiore 26 et al la hipertensión estuvo presente en el 74.5% de pacientes amputados. Resultados similares se reportaron en los estudios de Khan 27 y Lee 28 , en los que se encontró una asociación positiva entre hipertensión arterial con la úlcera del pie diabético y amputación de miembros inferiores.…”

Section: Discussionunclassified

Variables predictivas de amputación en pacientes con pie diabético en un hospital de segundo nivel de Ecuador

Valdés-Dupeyron¹,

Meza-Saltos²,

Ponce-Pacheco³

et al. 2023

RMA

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Introducción: La diabetes mellitus es una enfermedad metabólica con riesgo elevado de presentar úlceras en extremidades inferiores (pie diabético) que puede terminar en amputación. Objetivo: Identificar las variables predictivas de amputaciones en los pacientes con diagnóstico de pie diabético en el Hospital Verdi Cevallos desde enero de 2017 a diciembre de 2018. Metodología: Se realizó un estudio retrospectivo y correlacional, que incluyó 130 pacientes con diagnóstico de pie diabético. Se utilizaron técnicas de inferencia estadística no paramétrica univariante para la correlación de las variables cualitativas (pruebas de χ 2 ), así como la direccionalidad de estas. Resultados: Se encontró correlación entre la insuficiencia renal crónica avanzada, mal control glucémico, enfermedad vascular periférica severa y gravedad de la úlcera por la clasificación de Wagner-Merrit con la realización de amputación futura. Conclusión: El mal control glucémico, la insuficiencia renal crónica avanzada, enfermedad vascular periférica severa y los estadios 4 y 5 de la clasificación de Wagner-Merrit fueron factores predictivos de amputación en el paciente con pie diabético.

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Section: Discussionunclassified

Variables predictivas de amputación en pacientes con pie diabético en un hospital de segundo nivel de Ecuador

Valdés-Dupeyron¹,

Meza-Saltos²,

Ponce-Pacheco³

et al. 2023

RMA

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“…In contrast, according to Fiore et al (2015) vascular diseases are the main causes of lower limb amputation, as they affect more than half of the total number of amputees. However, in this study, 14% of amputation due to DM and 14% to arterial thrombosis were found, accounting for only 28% in the etiology of vascular diseases, reported by the ICSC.…”

Section: Discussionmentioning

confidence: 99%

Physical therapy evaluation in the immediate post-operative period of patients with lower limbs amputation assisted at the hospital bedside

Sarmento

Luz

Oliveira

2021

Cad. Bras. Ter. Ocup.

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Lower limb (LL) amputation compromises the individual's quality of life and functionality, requiring immediate rehabilitation through the assistance of a multi-professional team. This research describes the sociodemographic and physical-functional profile of the LL amputee, evaluated at the hospital bedside in the immediate postoperative period. This is a descriptive and cross-sectional study in which patients from the Unified Health System were evaluated, who underwent LL of any etiology in a public hospital. The collection was designated through notifications from the hospital staff regarding cases of newly amputees, totaling fourteen subjects. The average age of the participants was 44 years old, being 86% male. The etiology of the predominant amputation was automobile trauma due to motorcycle accidents and transtibial level. From the perimetry, it was found that 43% of the individuals presented edema in the stump when compared to the contralateral limb. Regarding stump pain, 93% of subjects reported feeling, while 78% reported feeling phantom pain and phantom sensation. Concerning normal muscle strength in the amputated limb, it was present in only 1% of patients, in contrast to the intact limb was present in 48% of individuals for any muscle group. In bed mobility, 32% of individuals had complete independence. In unipodal orthostatism, no patient was able to stand independently. From the collected data it was possible to conclude that the physical therapist should pay attention to the muscular strength, bed mobility, and static balance of the amputee to avoid muscle contractures and facilitate prosthesis.

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“…Incidence of LEA due to DFU was documented to be at more than a million per year . Nowadays, those exhibiting hypertriglyceridaemia, infection, PAD and HbA1c ≥8 mmol/mol are acknowledged as being at a high risk of DFU as well as LEA . Moreover, trauma, neuropathy and deformity were known as the most frequent component causing DFU .…”

Section: Introductionmentioning

confidence: 99%

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Subrata

Phuphaibul

2019

Scandinavian Caring Sciences

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Background Diabetic foot ulcer care demonstrates a beneficial approach to overcoming problems in patients with diabetes. This approach is frequently given but is not always successfully implemented due to its fragmentation amid healthcare providers. What's more, there are a number of different understandings, interchangeable languages and an absence of uniformity overlapping terminologies of meaning for diabetic foot ulcer care. Therefore, analysing the concept of diabetic foot ulcer care is important to provide a wider nursing knowledge, synthesise a greater theoretical model and drive more effective care of diabetic foot ulcer. Objective This article aimed to analyse how the concept of diabetic foot ulcer care is clearly defined in the relevant evidence as it has several implications in nursing practice. Method Walker and Avant's (1995) method of concept analysis was systematically used in this study. Findings Three critical attributes of diabetic foot ulcer care were determined consisting of assessment, intervention and evaluation. Constructed cases are also presented to differentiate the concept of diabetic foot ulcer care from other concepts. This concept analysis results in the critical attributes of diabetic foot ulcer care, defines an operational definition and describes common goals that improve clarity, consistency and understanding of the concept amid healthcare professionals along with researchers. Conclusion Effective implementation of the concept of DFU care into clinical nursing practice may undoubtedly improve patient outcomes and prevent the complexities of DFU in the years to come. Future research needs to be developed for evaluating the current use of this concept.

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Risk factors for ulceration and amputation in patients with diabetic foot at risk: results form a tertiary care center

Cited by 3 publications

References 0 publications

Variables predictivas de amputación en pacientes con pie diabético en un hospital de segundo nivel de Ecuador

Variables predictivas de amputación en pacientes con pie diabético en un hospital de segundo nivel de Ecuador

Physical therapy evaluation in the immediate post-operative period of patients with lower limbs amputation assisted at the hospital bedside

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

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