Diabetes mellitus and diabetic foot in inpatients study: data from Argentina
DOI:
https://doi.org/10.47196/diab.v53i1.136Keywords:
diabetic foot, internment, prevalence, diabetesAbstract
Introduction: diabetic foot is a chronic complication that occurs in 15% to 25% of diabetic patients. Once it appears, a multidisciplinary team shoud be necessary to care for that patients. Patients suffering from diabetic foot often requires treatment as inpatients. In this context, knowlege about information related to the hospitalization of diabetic foot is very important in making decisions about public health, related to prevention and treatment.
Objectives: the purpose of this study was to determinate the prevalence of diabetes and the rate of diabetic foot among inpatients.
Materials and methods: a total of 6,776 inpatients were studied in 104 Argentine institutions. The study was conducted during a day chosen by each institution within a period of two months (September and October 2017).
Results: the prevalence of diabetes mellitus was 17.86%, while the rate of diabetic foot was 14.11%. The rate of diabetic foot classified as Wagner >=1 was 4.47%. Diabetic foot was the reason for admission in 3.16% of inpatients and 17.85% of diabetic inpatients.
Conclusions: in our knowledge, this is the largest study in Argentina and lays the foundation for further investigation in this topic.
References
Anglada-Barceló J, Márquez JA, del Pozo Picó C, García-Pascual LM, Tarroch-Sarasa X, Viadé-Juliá J. Pie diabético. En: Jordi-Viadé J, Royo-Serrano J. Pie Diabético. Guía práctica para la prevención, evaluación y tratamiento, 1° Edición. España: Ed Panamericana, 2006; 21-42.
Singh N, Armstrong DJ, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA 2005; 293: 217-28.
Asociación Latinoamericana de Diabetes. Guías ALAD sobre el diagnóstico, control y tratamiento de la diabetes mellitus tipo 2 con medicina basada en evidencia. Revista de la ALAD. Edición 2013.
Bus S, et al. IWGDF Guidance on the prevention of foot ulcers in at-risk patients with diabetes. 2015. Disponible en: www.iwgdf.org.
Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis 2012 Jun; 54(12):e132-73.
Ibrahim M, et al. IDF Clinical practice recommendations on the diabetic foot 2017. International Diabetes Federation. Diabetes Res Clin Pract 2017 May; 127:285-287
Singh N, Armstrong DJ, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA 2005; 293: 217-28.
Ramos W, López T, Revilla L, More L, Huamani M, Pozo M. Resultados de la vigilancia epidemiológica de diabetes mellitus en hospitales notificantes del Perú, 2012. Rev Perú Med Exp Salud Pública 2014; 31: 9-15.
Olivera EM. Fuente SAD CENEXA 1989-1992. (Sociedad Argentina de Diabetes- Centro de Endocrinología Experimental y Aplicada). Revista de la Sociedad Argentina de Diabetes 1992; 26: 41-51.
García A, Aranguren M, Bustos V, et al. Frecuencia de internación por diabetes en la Ciudad de Buenos Aires. Revista Sociedad Argentina de Diabetes 2012: 46: 229.
Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Annals of Medicine 2017; 49: 106-16.
Currie C, Morgan C, Peters J. The epidemiology and cost of inpatient care for peripheral vascular disease, infection, neuropathy, and ulceration in diabetes. Diabetes Care 1998; 21: 42-8.
Sarinnapakorn V, Sunthorntepwarakul T, Deerochanawong C, Niramitmahapanya S, Napartivaumnuay, N. Prevalence of diabetic foot ulcers and risk classifications in type 2 diabetes mellitus patients at Rajavithi Hospital. J Med Assoc Thai 2016; 99: 99-105.
Bouter K, Storm A, de Groot R, Uitslager R, Erkelens D, Diepersloot R. The diabetic foot in Dutch hospitals: epidemiological features and clinical outcome. Eur J Med 1993; 2: 215-8.
Ibarra A. Prevalencia y características clínicas de pacientes diabéticos ingresados en un hospital general. Arch Med Interna 2015; 37: 57-60.
McInnes AD. Diabetic foot disease in the United Kingdom: about time to put feet first. J Foot Ankle Res 2012; 5: 5-26.
Rodríguez-Santamaría Y, Alatorre-Esquivel MA. Causas de hospitalización del adulto con diabetes mellitus tipo 2. Revista Enfermería Universitaria ENEO-UNAM 2008; 5: 17-20.
Richard J, Lavigne J, Got I, et al. Management of patients hospitalized for diabetic foot infection. Results of the French OPIDIA study. Diabetes Metab 2011; 37: 208-15.
Lazzarini P, Hurn S, Kuys S, et al. Direct inpatient burden caused by foot-related conditions: a multisite point-prevalence study. BMJ open 2016; 6: e010811.
Reed J. An audit of lower extremity complications in octogenarian patients with diabetes mellitus. Lower Extremity Wounds 2004; 3:161-4.
Wallymahmed M, Dawes S, Clarke G, Saunders S, Younis N, MacFarlane I. Hospital in-patients with diabetes: increasing prevalence and management problems. Diabet Med 2005; 22: 107-9.
Del Castillo-Tirado R, Fernández-López JA, del Castillo-Tirado FJ. Guía de práctica clínica en el pie diabético. Archivos de Medicina 2014; 10: 1-17.
Lazzarini P, Hurn S, Fernando M, et al. Prevalence of foot disease and risk factors in general inpatient population: a systematic review and meta-analysis. BMJ Open 2015; 5: e008544
Carro G, Saurral R, Salvador F, Witman E. Pie diabético en pacientes internados en hospitales de Latinoamérica. Medicina (Buenos Aires) 2018; 78: 243-51.
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Dirección Nacional de Derecho de Autor, Exp. N° 5.333.129. Instituto Nacional de la Propiedad Industrial, Marca «Revista de la Sociedad Argentina de Diabetes - Asociación Civil» N° de concesión 2.605.405 y N° de disposición 1.404/13.
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