Correlación clínica y quirúrgica de amputación por pie diabético
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Una de las complicaciones más graves del pie diabético es una amputación mayor, que se asocia con un pronóstico deficiente del paciente, la ulceración del pie diabético es una complicación grave de la diabetes mellitus en todo el mundo y la causa más común de hospitalización en pacientes diabéticos. La etiología de las ulceraciones del pie diabético es compleja debido a su naturaleza multifactorial. La adherencia adecuada a las estrategias de tratamiento estándar y la cooperación interdisciplinaria pueden reducir las tasas de amputaciones mayores. Es apropiado centrarse en la mejora de la detección y el tratamiento de la infección y la isquemia en dicho grupo de pacientes con riesgo. En Ecuador la Diabetes Mellitus tipo II es una de las comorbilidades más frecuentes y se asocia con las tasas de mortalidad más alta a nivel nacional, sin embargo las complicaciones mayores y menores no han sido reportados, por ello nuestro trabajo de forma analítica descriptiva observacional indirecta presente determinar cuantitativamente como 142 casos con ingreso como pie diabético, el 13% fueron sometidos a amputación, siendo el criterio clínico más usado la arteriopatía y necrosis extensa y quirúrgicamente la clasificación Wagner IV, en 18 casos de toda la población analizada.
Palabras Claves: Diabetes; úlcera del pie diabético; neuropatía; sistemas de clasificación; reglas de predicción clínica.
One of the most serious complications of diabetic foot is a major amputation, which is associated with a poor prognosis of the patient, diabetic foot ulceration is a serious complication of diabetes mellitus worldwide and the most common cause of hospitalization in patient’s diabetics The etiology of diabetic foot ulcerations is complex due to its multifactorial nature. Adequate adherence to standard treatment strategies and interdisciplinary cooperation can reduce the rates of major amputations. it is appropriate to focus on improving the detection and treatment of infection and ischemia in this group of patients at risk. In Ecuador, Type II Diabetes Mellitus is one of the most frequent comorbidities and is associated with the highest mortality rates at a national level, however the major and minor complications have not been reported, so our work in an indirect observational descriptive analytical way present to determine quantitatively as 142 cases with admission as a diabetic foot, 13% were subjected to amputation, the clinical criterion most used being arteriopathy and extensive necrosis and surgically the Wagner IV classification, in 18 cases of the entire population analyzed.
One of the most serious complications of diabetic foot is a major amputation, which is associated with a poor prognosis of the patient, diabetic foot ulceration is a serious complication of diabetes mellitus worldwide and the most common cause of hospitalization in patient’s diabetics The etiology of diabetic foot ulcerations is complex due to its multifactorial nature. Adequate adherence to standard treatment strategies and interdisciplinary cooperation can reduce the rates of major amputations. it is appropriate to focus on improving the detection and treatment of infection and ischemia in this group of patients at risk. In Ecuador, Type II Diabetes Mellitus is one of the most frequent comorbidities and is associated with the highest mortality rates at a national level, however the major and minor complications have not been reported, so our work in an indirect observational descriptive analytical way present to determine quantitatively as 142 cases with admission as a diabetic foot, 13% were subjected to amputation, the clinical criterion most used being arteriopathy and extensive necrosis and surgically the Wagner IV classification, in 18 cases of the entire population analyzed.
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Amputación, Pie diabético, Hospital General Guasmo Sur, Cantón Guayaquil, Ecuador, Correlación de datos, Diabetes mellitus