Association between hospitalization due to diabetes mellitus and diabetic foot amputation
Abstract
Objective: To analyze the association between the number of people hospitalized for diabetes and the number of people with limb amputation.Method: This is an ecological study using the Hospital Information System of the Unified Health System (SIH / SUS) from 2010 to 2015 in the state of Ceará, Brazil. The data were analyzed by the Statistical Package for the Social Sciences (SPSS). Pearson's linear correlation coefficient was applied to measure the intensity of the linear association between the variables.
Results: There were 27,054 hospital admissions for diabetes. There was an inverse correlation between the number of admissions for treatment of diabetes and proportional correlation of the number of hospitalizations for complicated foot treatment and hospitalization for limb amputations.
Conclusion: The data reveal a thin line regarding the health care of the person with diabetic foot.
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References
International Diabetes Federation. IDF Diabetes. 7ª ed. Belgium; 2015.
World Health Organization. WHO Global action plan for the prevention and control of noncommunicable disease 2013-2020 [Internet]. Geneva: World Health Organization; 2013 [cited 2016 Oct 20]. Available from: http://www.who.int/nmh/events/ncd_action_plan/en/.
Diretrizes da Sociedade Brasileira de Diabetes (2015-2016). São Paulo: A.C. Farmacêutica, 2016.
Alexiadou K, Doupis J. Management of Diabetic Foot Ulcers. Diabetes Ther. 2012 Dec; 3(1): 4. Published online 2012 Apr 20. doi: 10.1007/s13300-012-0004-9.
Malhotra S, Bello E, Kominsky S. Diabetic foot ulcerations: biomechanics, charcot foot, and total contact cast. Semin Vasc Surg. 2012 Jun;25(2):66-9. doi: 10.1053/j.semvascsurg.2012.05.001.
Neville RF, Sidawy AN. Surgical bypass: when is it best and do angiosomes play a role? Semin Vasc Surg. 2012 Jun;25(2):102-7. doi: 10.1053/j.semvascsurg.2012.04.001.
Alavi A, Sibbald RG, Mayer D, Goodman L, Botros M, Armstrong DG et al. Diabetic foot ulcers: Part I. Pathophysiology and prevention. J Am Acad Dermatol. 2014 Jan;70(1):1.e1-18; quiz 19-20. doi: 10.1016/j.jaad.2013.06.055.
International Working Group on the Diabetic Foot the Diabetic Foot. IWGDF Guidance on the prevention of foot ulcers in at-risk patients with diabetes. International Working Group on the Diabetic Foot (IWGDF). 2015. Available from: <http://www.iwgdf.org>
Shahbazian H, Yazdanpanah L, Latifi SM. Risk assessment of patients with diabetes for foot ulcers according to risk classification consensus of International Working Group on Diabetic Foot (IWGDF). Pak J Med Sci. 2013 May;29(3):730-4.
Sagray B, Malhotra S, Steinberg JS. Current therapies for diabetic foot infections and osteomyelitis. Clin Podiatr Med Surg. 2014;31:57–70. http://dx.doi.org/10.1016/j.cpm.2013.09.003.
Prompers L, Huijberts M, Apelqvist J, Jude E, Piaggesi A, Bakker K et al. High prevalence of ischaemia, infection and serious comorbidity in patients with diabetic foot disease in Europe. Baseline results from the Eurodiale study. Diabetologia. 2007 Jan;50(1):18-25. Epub 2006 Nov 9.
Matamoros R, Riepe G, Drees P. Minor amputations - a maxi task. Part 1: From the principles to transmetatarsal amputation. Chirurg. 2012 Oct;83(10):923-33; quiz 934. doi: 10.1007/s00104-010-2054-8.
Pickwell K, Siersma V, Kars M, Janeiro A , Bakker K , Edmonds M, et al. Predictors of lower-extremity amputation in patients with an infected diabetic foot ulcer. Diabetes Care 2015 May; 38(5): 852-57. http://dx.doi.org/10.2337/dc14-1598.
Frykberg RG, Marston WA, Cardinal M. The incidence of lower-extremity amputation and bone resection in diabetic foot ulcer patients treated with a human fibroblast-derived dermal substitute. Adv Skin Wound Care. 2015 Jan;28(1):17-20. doi: 10.1097/01.ASW.0000456630.12766.e9.
Brasil. Ministério da Saúde; Secretaria de Atenção à Saúde; Departamento de Atenção Básica. Manual do pé diabético: estratégias para o cuidado da pessoa com doença crônica. Brasília; 2016.
Oliveira VM, Moreira D. Prevalência de amputados de membros inferiores atendidos no Hospital da Vila São José Bento Cottolengo, em Trindade – GO. RVS [Internet]. 2009 Jan./Mar [cited 2014 Nov 21];3:20-37. Available from: http://www.fugedu.com.br/upload/journals/ 1/issues/24/public/24-52-PB.pdf 13.
Oliveira JC, Taquary SAS, Barbosa AM, Veronezi RJB. Pé diabético e amputações em pessoas internadas em hospital público: estudo transversal. ABCS Health Sci. 2016; 41(1):34-39.
Santos ICRV, Sobreira CMM, Nunes ENS, Morais MCA. Prevalência e fatores associados a amputações por pé diabético. Ciênc. saúde coletiva [Internet]. 2013 Oct [cited 2016 Nov 21] ; 18(10): 3007-3014. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232013001000025&lng=en. http://dx.doi.org/10.1590/S1413-81232013001000025.
Santos IV, Carvalho EF, Souza WV de, Albuquerque EC de. Prevalência de amputações e revascularizações por pé diabético e suas características. Rev enferm UFPE on line. 2016; 10(7):2354-61.
Santos FAL, Lima WP, Santos AL, Teston EF, Marcon SS.
Hospitalizações por diabetes em adultos e idosos no Ceará, 2001-2012. Epidemiol. Serv. Saúde [Internet]. 2014 Dez [citado 2016 Nov 17] ; 23(4): 655-63. Disponível em: http://scielo.iec.pa.gov.br/scielo.php?script=sci_arttext&pid=S1679-49742014000400007&lng=pt.
Andrade NHS, Dal Sasso-Mendes K, Faria HTG, Martins TA, Santos MA, Teixeira CRS, et al. Pacientes com diabetes mellitus: cuidados e prevenção do pé diabético em atenção primária à saúde. Rev enferm UERJ. 2010;18(4):616-21.
Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde 2013: percepção do estado de saúde, estilos de vida e doenças crônicas – Brasil, Grandes Regiões e Unidades da Federação. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2014. Disponível em: ftp://ftp.ibge.gov.br/PNS/2013/pns2013.pd.
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