Association Between the Diabetes mellitus Duration and the Severity of Diabetic Foot Disease in Hospitalized Patients in Latin America.
| Autor: | Bedriñana-Marañón B; School of Medicine, Universidad Científica del Sur, Lima, Perú., Rubio-Rodríguez M; School of Medicine, Universidad Científica del Sur, Lima, Perú., Yovera-Aldana M; Grupo de Investigación Neurociencia, Efectividad y Salud Pública, Universidad Científica del Sur, Lima, Perú.; Red de Eficacia Clinica y Sanitaria, REDECS, Lima, Perú., Garcia-Villasante E; Red de Eficacia Clinica y Sanitaria, REDECS, Lima, Perú.; Hospital Nacional Daniel Alcides Carrion, Callao, Perú., Pinedo-Torres I; Grupo de Investigación Neurociencia, Efectividad y Salud Pública, Universidad Científica del Sur, Lima, Perú. |
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| Jazyk: | angličtina |
| Zdroj: | The international journal of lower extremity wounds [Int J Low Extrem Wounds] 2024 Sep; Vol. 23 (3), pp. 436-444. Date of Electronic Publication: 2021 Dec 10. |
| DOI: | 10.1177/15347346211063266 |
| Abstrakt: | The objective was to determine the association between a diabetes mellitus duration greater than 10 years and the severity of diabetic foot in hospitalized patients in Latin America.Analytical, observational, and retrospective study based in secondary databases. Patients older than 18 years with diagnosis of diabetes mellitus (DM) and hospitalized for any causes were included. The independent and dependent variables were having more than 10 years of diagnosis of DM and the severity of the diabetic foot disease (Wagner> = 2), respectively. A crude Poisson regression analysis was performed to obtain prevalence rates adjusted to confounders.Male gender was 54.8% and the median age was 62 years. In the group with more than10 years of disease (n = 903) 18% (n = 162) had severe injuries. We performed two Poisson regression analyzes, one of which included the entire sample; and in the other, only patients with some degree of ulcer were included at the time of evaluation (Wagner > = 1). In the first analysis the PR was 1.95 ( p < 0.01) adjusted for the significant variables in the bivariate analysis and in the second analysis the PR was 1.18 ( p < 0.01) adding to the adjustment the days of injury prior to hospitalization and the location of the ulcer.We conclude that in patients with more than 10 years of diabetes mellitus, diabetic foot injuries are more severe, regardless type of diabetes, gender, age, history of amputation and days of injury prior to hospitalization for inpatients in Latin America. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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