Demographic and socioeconomic profiles of patients admitted with diabetic foot complications in a tertiary hospital in Belem - Para.

Autor:	Reis JMCD; - Centro Universitário Metropolitano da Amazônia (UNIFAMAZ), Cirurgia Vascular, Disciplina de Habilidades Cirúrgicas - Belém - PA - Brasil., Wanzeller RRM; - Hospital Universitário João de Barros Barreto, Departamento de Cirurgia Geral e do Aparelho Digestivo - Belém - PA - Brasil., Meireles WM; - Hospital Universitário João de Barros Barreto, Departamento de Cirurgia Geral e do Aparelho Digestivo - Belém - PA - Brasil., Andrade MC; Universidade do Estado do Pará (UEPA), Disciplina de Estatística - Belém - Pará - Brasil., Gomes VHGA; Universidade Federal do Pará (UFPA), Cirurgia Vascular - Belém - PA - Brasil., Arrais JAA; - Hospital Universitário João de Barros Barreto, Departamento de Cirurgia Geral e do Aparelho Digestivo - Belém - PA - Brasil., Ishak G; - Hospital Universitário João de Barros Barreto, Departamento de Cirurgia Geral e do Aparelho Digestivo - Belém - PA - Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2020 Nov 30; Vol. 47, pp. e20202606. Date of Electronic Publication: 2020 Nov 30 (Print Publication: 2020).
DOI:	10.1590/0100-6991e-20202606
Abstrakt:	Objective: to assess the socioeconomic and demographic profiles of patients hospitalized with a diagnosis of diabetic foot in a tertiary hospital in Belem-PA, Brazil, as well as to evaluate risk factors for lower limb amputations in such patients, classifying them according to the Wagner and PEDIS classifications. Methods: we conducted a descriptive, cross-sectional, unicentric, and analytical study carried out through a structured questionnaire. Results: the study consisted of 57 patients, aged between 48 and 84 years old, 66.7% being male. The average income ranged between one and three (61.4%) minimum wages and below one minimum wage (31.6%). Type II Diabetes Mellitus was predominant (86.0%). Concerning comorbidities, arterial hypertension displayed the highest proportion (62.3%), followed by dyslipidemia (52.8%). Smokers comprised 35.1% of the sample. Infectious diabetic foot (50.9%) and mixed diabetic foot (49.1%) were the most common. Of the 20 patients with previous amputation, 90% had undergone minor amputation, and 10%, major ones. Callosity (92.6%) was the most prevalent deformity. Fifty-four (94.7%) patients underwent surgery, those being debridement (24.1%), minor amputation (37.0%) and major amputation (38.9%). During hospitalization, 78.9% of individuals did not require ICU stay. Hospitalization time varied between three and 59 days, and 78.9% of hospitalized patients did not progress to death, but 43.1% of patients submitted to major amputations died. Conclusion: patients with diabetic foot followed-up have a low socioeconomic profile; most of them underwent surgical procedures, whether major or minor, due to the higher prevalence of infectious diabetic foot and/or non-adherence to non-operative treatment.
Databáze:	MEDLINE
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