PREVALENCE OF AMPUTATIONS IN DIABETIC INDIVIDUALS TREATED AT A REFERRAL CENTER

Authors

  • João Vitor Pereira dos Santos Universidade Federal da Bahia – Escola de Enfermagem – Salvador (BA), Brazil.
  • Paula Victoria Bittencourt Araújo Universidade Federal da Bahia – Escola de Enfermagem – Salvador (BA), Brazil. https://orcid.org/0009-0005-9657-9137
  • Claudia Silva Marinho Universidade Federal da Bahia – Escola de Enfermagem – Salvador (BA), Brazil. https://orcid.org/0000-0002-0597-8126
  • Rose Ana Rios David Universidade Federal da Bahia – Escola de Enfermagem – Salvador (BA), Brazil.
  • Rayssa Fagundes Batista Paranhos Universidade Federal da Bahia – Programa de Pós-Graduação em Enfermagem e Saúde – Salvador (BA), Brazil. https://orcid.org/0000-0002-7690-6453

Abstract

Diabetes Mellitus (DM) has high rates of morbidity and mortality due to its complications. Objective: To analyze the prevalence of amputations in individuals with DM treated at a referral center in Salvador, Bahia. Method: Cross-sectional study, with data from 160 medical records adult people with diabetes who suffered or not amputation, attended at the specialized outpatient service. Data analysis was performed using the Statistical Package for the Social Sciences®. The results are presented in absolute and relative frequencies, χ2 test and Fisher’s exact test, when appropriate, considering significance of 5%. Results: The prevalence of amputation was 53.75%. It was associated with male gender (p=0;00), time since diagnosis of DM greater than 10 years (p=0.046) and metabolic comorbidities (p=0.047). Conclusion: The high rates of amputations in males of productive and working age reveal the need to control DM and its comorbidities, as well as prevention of skin lesions that lead to amputation.

Downloads

Download data is not yet available.

References

Brasil. Secretaria de Vigilância em Saúde, Ministério da Saúde. Vigitel Brasil 2021: Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico. Brasília: Ministério da Saúde. Brasília, 2022. [cited 16 dec 2022]. https://www.gov.br/saude/pt-br/centrais-de conteudo/publicacoes/svsa/vigitel/vigitel-brasil-2021-estimativas-sobre-frequencia-e-distribuicao-

sociodemografica-de-fatores-de-risco-e-protecao-para-doencas-cronicas

World Health Organization. Classification of Diabetes Mellitus. 2019. [cited 16 dec 2022]. https://www.who.int/publications/i/item/classification-of-diabetes-mellitus

Diretriz da Sociedade Brasileira de Diabetes, 2023 – Classificação, diagnóstico e metas de tratamento. EDIÇÃO 2023. [cited 16 dec. 2022]. https://diretriz.diabetes.org.br/infeccao-no-pe-diabetico/

International Working Group On the Diabetic Foot. Guidelines on the prevention and management of diabetes-related foot disease. [cited 16 dec 2022]. https://iwgdfguidelines.org/guidelines-2023/all-guidelines-2023/

Webber S, et al. International Diabetes Federation. IDF Diabetes Atlas. 10th ed. [Internet]. 2021. [cited 16 dec 2022]. www.diabetesatlas.org

Peixôto Júnior AB, Oliveira ATS, Nogueira MF, Andrade LL de. Perfil clínico e terapêutico de pacientes internados com úlceras de membros inferiores. Rev Enferm Atual Derme. 2020;92(30):79–87. https://doi.org/10.31011/reaid-2020-v.92-n.30-art.613

Dos Reis JMC, Wanzeller RRM, Meireles WM, de Andrade MC, Gomes VHGA, Arrais JAA, et al. Demographic and socioeconomic profiles of patients admitted with diabetic foot complications in a tertiary hospital in Belém-Pará. Rev Col Bras Cir. 2020;47:1–9. https://doi.org/10.1590/0100-6991e-20202606

de Souza YP, Dos Santos ACO, de Albuquerque LC. Characterization of amputees at a large hospital in Recife, PE, Brazil. J Vasc Bras. 2019;18:1–8. https://doi.org/10.1590/1677-5449.190064

Brasil. Boletim estatístico da previdência social. 2022;27(01).. https://www.gov.br/previdencia/pt-br/assuntos/previdencia-social/arquivos/beps112022_final.pdf

Monteiro-Soares M, Santos J.V, et al. Diabetes Atlas report on diabetes foot-related.complications. IDF Atlas Rep. 2022. https://diabetesatlas.org/atlas/diabetic-foot-2022/ dlmodal=active&dlsrc=https%3A%2F%2Fdiabetesatlas.org%2Fidfawp%2Fresourcefiles%2F2022%2F12%2FIDF-Diabetic-Foot-Report.pdf

Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Hinchliffe RJ, Lipsky BA. Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(S1):1–10. https://doi.org/10.1002/dmrr.3266

Echouffo-Tcheugui JB, Perreault L, Ji L, Dagogo-Jack S. Diagnosis and Management of Prediabetes: A Review. Jama. 2023;329(14):1206–16. https://doi.org/10.1001/jama.2023.4063

Gajda R, Raczkowska E, Sobieszczańska M, Noculak Ł, Szymala-Pędzik M, Godyla-Jabłoński M. Diet Quality Variation among Polish Older Adults: Association with Selected Metabolic Diseases, Demographic Characteristics and Socioeconomic Status. Int J Environ Res Public Health. 2023. 7;20(4):2878. https://doi.org/10.3390/ijerph20042878

Liu G, Li Y, Pan A, Hu Y, Chen S, Qian F, Rimm EB, Manson JE, Stampfer MJ, Giatsidis G, Sun Q. Adherence to a Healthy Lifestyle in Association With Microvascular Complications Among Adults With Type 2 Diabetes. JAMA Netw Open. 2023. 3;6(1):e2252239. https://doi.org/10.1001/jamanetworkopen.2022.52239

Fonseca HAR, Izar MCO, Drager LF, Pinto IM, Saraiva JFK, Ferreira JFM, Avezum Á, Fonseca FA, Berwanger O. Primary Prevention of Cardiovascular Disease at Community Clinics in the State of Sao Paulo, Brazil: Results from the Epidemiological Information Study of Communities. Glob Heart. 2023, 5;18(1):24. https://doi.org/10.5334/gh.1203

Bagheri-Hosseinabadi Z, Moadab F, Amiri A, Abbasifard M. The prevalence and contributing risk factors of coronavirus disease 2019 infection in patients with metabolic syndrome. BMC Endocr Disord. 2023, 4;23(1):100. https://doi.org/10.1186/s12902-023-01351-0

Gong H, Ren Y, Li Z, Zha P, Bista R, Li Y, Chen D, Gao Y, Chen L, Ran X, Wang C. Clinical characteristics and risk factors of lower extremity amputation in the diabetic in patients with foot ulcers. Front Endocrinol (Lausanne). 2023, 31;14:1144806. https://doi.org/10.3389/fendo.2023.1144806

Amorin AS, Machado CL, Souza VLAR, Santos AJ, Queiroz MO. Diabect foot severety: socieconomic factors in a study with 5300 patients. Rev. baiana saúde pública. 2022, 46, supl.1:175-90. https://doi.org/10.22278/2318-2660.2022.v46.nSupl_1.a3780

Simón-Pérez E, Simón-Pérez C, Alonso-Peña D, Pontón-Cortina A, Chicharro-Luna E, Martínez-Nova A, et al. Stiffness degree of ankle range of motion in diabetic patients with atypical amputation. Rev Assoc Med Bras. 2020;66(2). https://doi.org/10.1590/1806-9282.66.2.216

Santos de Gois JP dos, Chaves ASC. Pé diabético: avaliação dos fatores de risco relacionados a amputações maiores e menores. Rev Eletrônica Acervo Saúde. 2020;12(1):e1484. https://doi.org/10.25248/reas.e1484.2020

Pereira da Silva Pena F. Resiliência de pessoas com Diabetes Mellitus após cirurgia de amputação. 2020;11(5):187–93. [cited 21 dec 2022]. http://revista.cofen.gov.br/index.php/enfermagem/article/view/3486/1043

Matos DR, Naves JF, de Araujo TCCF. Quality of life of patients with lower limb amputation with prostheses. Estud Psicol. 2020;37:1–12. https://doi.org/10.1590/1982-0275202037e190047

Carrasco MIB, Fernández ER, González MA, Gutiérrez SSR. Autocuidado de los pies en personas con diabetes tipo 2. Un estudio cualitativo. Enfermería Clínica. 2023, 33(3). https://doi.org/10.1016/j.enfcli.2023.01.016

Harrison JM, Kranz AM, Chen AY, Liu HH, Martsolf GR, Cohen CC, Dworsky M. The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity. Inquiry. 2023, 60:469580231167013. https://doi.org/10.1177/00469580231167013

Published

2023-11-08

How to Cite

1.
Santos JVP dos, Araújo PVB, Marinho CS, David RAR, Paranhos RFB. PREVALENCE OF AMPUTATIONS IN DIABETIC INDIVIDUALS TREATED AT A REFERRAL CENTER. ESTIMA [Internet]. 2023 Nov. 8 [cited 2024 Apr. 27];21. Available from: https://www.revistaestima.com.br/estima/article/view/1446

Issue

Section

Original article

Most read articles by the same author(s)