Caracterización clínica y factores de riesgo asociados a pie diabético del Hospital Guasmo Sur año 2018
Fecha
2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Médicina
Resumen
El pie diabético constituye una de las complicaciones de la diabetes mellitus que afecta gravemente a quienes padecen esta enfermedad. Se define como las lesiones presentes en cualquier parte del pie de un diabético. La neuropatía, la isquemia y las infecciones son las entidades principales por las que se producen las úlceras del pie diabético, todos estos con la ayuda de hiperglicemias sostenidas. Existen varios sistemas de clasificaciones del pie diabético que han sido propuestos por varios autores entre ellos: la clasificación de la Universidad de Texas, la clasificación de Wagner, la clasificación IDSA, etc. En el Hospital General Guasmo sur se utiliza el sistema de clasificación de la Universidad de Texas. Esta investigación tuvo como objetivo principal conocer los factores de riesgo presentes en los pacientes del Hospital que conllevan al desarrollo de lesiones en sus pies, así como la caracterización de dichas lesiones. Teniendo como resultado que la neuropatía y el uso de calzado inadecuado son los factores de riesgo que se encuentran con mayor frecuencia y en cuanto a la clínica el mayor porcentaje presentan lesiones neuropáticas.
Diabetic foot is one of the complications of diabetes mellitus that severely affects those who suffer from this disease. It is defined as the lesions present in any part of the foot of a diabetic. Neuropathy, ischemia and infections are the main entities that cause diabetic foot ulcers, all of them with the help of sustained hyperglycemia. There are several diabetic foot classification systems that have been proposed by several authors, among them: the classification of the University of Texas, the Wagner classification, the IDSA classification, etc. The classification system of the University of Texas is used at the South Guasmo General Hospital. The main objective of this research was to determine the risk factors present in Hospital patients that lead to the development of lesions on their feet, as well as the characterization of these injuries. As a result, neuropathy and the use of inappropriate footwear are the risk factors that are found most frequently and, in clinical terms, the highest percentage present neuropathic lesions.
Diabetic foot is one of the complications of diabetes mellitus that severely affects those who suffer from this disease. It is defined as the lesions present in any part of the foot of a diabetic. Neuropathy, ischemia and infections are the main entities that cause diabetic foot ulcers, all of them with the help of sustained hyperglycemia. There are several diabetic foot classification systems that have been proposed by several authors, among them: the classification of the University of Texas, the Wagner classification, the IDSA classification, etc. The classification system of the University of Texas is used at the South Guasmo General Hospital. The main objective of this research was to determine the risk factors present in Hospital patients that lead to the development of lesions on their feet, as well as the characterization of these injuries. As a result, neuropathy and the use of inappropriate footwear are the risk factors that are found most frequently and, in clinical terms, the highest percentage present neuropathic lesions.
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Ulcera péptica, Hiperglucemia, Neuropatías diabéticas, Factores de riesgo, Hospital General Guasmo Sur, Cantón Guayaquil, Ecuador, Pie diabético