Factores de riesgo y tratamiento según la escala de Wagner en pie diabético, estudio a realizarse en el Hospital Universitario de Guayaquil período 2014- 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Introducción. El pie diabético condiciona una alta morbilidad en la población diabética y además su tratamiento genera un alto costo por lo que es necesario establecer estrategias de prevención enfocadas en factores de riesgo.
Objetivo: Determinar los factores de riesgo y tratamiento de pie diabético en el Hospital Universitario de Guayaquil periodo 2014 - 2015
Materiales y métodos: Se realizó un estudio de casos y controles. Es decir, se definió como caso a todo paciente con diabetes mellitus que tuviera alguna complicación en los pies y por cada caso se obtuvo 01 control. Obteniendo 174 pacientes (83 casos y 91 controles).
Resultados: Se determinaron como factores de riesgo el tener 20 años de enfermedad o más OR=26,78, retinopatía diabética OR=19,30, ocupación de riesgo de lesión de pies OR=7,04.
Conclusiones: Los factores que demostraron ser de riesgo fueron Tiempo de enfermedad 20 años o más, antecedente de retinopatía diabética y el caminar para trabajar. Es decir, se sugiere utilizar los resultados de la investigación y enfocar nuestra práctica diaria a la búsqueda de lesiones en los pies de aquellos pacientes que muestren estos factores de riesgo.
Introduction. The diabetic foot today, determines high morbidity in the diabetic population and also expensive to treat so increasingly, prevention strategies are needed that focus on risk factors. Objective: To identify factors associated with the development of diabetic foot in diabetic patients hospitalized in the internal medicine department of 03 and HNGAI diabetic foot. Materials and Methods: We conducted a case-control study. Case was defined as any patient with diabetes mellitus who had any complications in the feet and each case was obtained 01 control. Getting 174 patients (83 cases and 91 controls). Results: They behaved as risk factors for the disease have 20 years or more OR = 26.78, OR = 19.30 diabetic retinopathy, an occupation where you walk to work OR = 7.04. Conclusions: The factors that proved time risk diseases were 20 or older, history of diabetic retinopathy and walking to work. It is recommended to use our findings and focus our daily practice to search for foot injuries in Patients exhibiting these risk factors.
Introduction. The diabetic foot today, determines high morbidity in the diabetic population and also expensive to treat so increasingly, prevention strategies are needed that focus on risk factors. Objective: To identify factors associated with the development of diabetic foot in diabetic patients hospitalized in the internal medicine department of 03 and HNGAI diabetic foot. Materials and Methods: We conducted a case-control study. Case was defined as any patient with diabetes mellitus who had any complications in the feet and each case was obtained 01 control. Getting 174 patients (83 cases and 91 controls). Results: They behaved as risk factors for the disease have 20 years or more OR = 26.78, OR = 19.30 diabetic retinopathy, an occupation where you walk to work OR = 7.04. Conclusions: The factors that proved time risk diseases were 20 or older, history of diabetic retinopathy and walking to work. It is recommended to use our findings and focus our daily practice to search for foot injuries in Patients exhibiting these risk factors.
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Pie diabético, Factores de riesgo, Escala de Wagner, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Estilo de vida