Citas bibligráficas
Pachas, A., Peralta, A. (2021). Factores de riesgo para la amputación en pacientes mayores de 18 años con pie diabético en el servicio de endocrinología en un hospital de tercer nivel de la Seguridad Social [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/655168
Pachas, A., Peralta, A. Factores de riesgo para la amputación en pacientes mayores de 18 años con pie diabético en el servicio de endocrinología en un hospital de tercer nivel de la Seguridad Social [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2021. http://hdl.handle.net/10757/655168
@misc{renati/1289509,
title = "Factores de riesgo para la amputación en pacientes mayores de 18 años con pie diabético en el servicio de endocrinología en un hospital de tercer nivel de la Seguridad Social",
author = "Peralta Cuadros, Almendra Jazminne",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2021"
}
Backgroud: Diabetic foot may cause significant morbidity and is the main cause of nontraumatic lower extremity amputation. Amputations involves a complex underlying including disability, premature mortality and a reduction in the quality of life. Objective: To identify the risk factors associated with the amputation of adult patients with diabetic foot in their first hospitalization with diabetic foot ulcer in the endocrinology service of the National Hospital Edgardo Rebagliati during the period 2009 to 2017. Methods: We performed a retrospective, observational, analytical cohort study. Our outcome was amputation which was defined as the primary amputation recorded in the clinical history during hospitalization. Through the review of medical records, data were collected on sociodemographic factors, related to diabetes mellitus 2, related to diabetic foot ulcer and emergency laboratory values. We carried out a crude and adjusted regression model of the Poisson family with robust variance. It was presented as a measure of association to the relative risk (RR) with 95% confidence interval. Variables presenting p < 0.05 in the crude analysis were selected to enter the adjusted model. Results: In total, 163 patients were diagnosed with diabetic foot ulcer in their first hospitalization, 55.21% were older than 60 years and 70.55% were male. The amputees were 63 participants. The results of the adjusted model showed that peripheral arterial disease (RR=1.57; IC95%: 1.09 - 2.25, p=0.01), Wagner grade IV (RR=4.25; IC 95%: 1.41 - 12.77, p=0.01) and admission plasma glucose>130 mg/dl (RR=2.40; IC 95%: 1.10 - 5.24, p= 0.02) were associated with amputation. Conclusions: The peripheral arterial disease, the advanced stage of the ulcer and high levels of admission plasma glucose are recognized as risk factors for amputation.
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