Abstract

MACHAIN, Gustavo Miguel et al. Diabetic Foot Management in the Emergency Service of Clinica´s Hospital of San Lorenzo in 2019. An. Fac. Cienc. Méd. (Asunción) [online]. 2021, vol.54, n.1, pp.93-100. ISSN 1816-8949.  https://doi.org/10.18004/anales/2021.054.01.93.

Among diabetic patients, 15% have a foot ulcer and a significant fraction of them will suffer an amputation at some point. An analytical, retrospective cross-sectional study of non-probabilistic sampling of consecutive cases was carried out in patients with a diagnosis of diabetic foot who attended the Emergency Service of the Clínicas Hospital in San Lorenzo, during January - December of the year 2019. In a total of 138 patients, the management established in the patients, whether surgical or. conservative, was compared according to certain comorbidities, such as age over 65 years, place of origin, average capillary glycemia and arterial hypertension on admission; Of these, there was a statistically significant relationship (p <0.05) between the need for amputation and capillary glycemia and arterial hypertension.

Successful intervention requires a thorough understanding of the pathogenesis of diabetic foot ulcers and a rapid and standardized implementation of effective treatment. Multidisciplinary management can achieve limb salvage, leading to better quality of life and survival.

Keywords : Diabetic foot; comorbidities; amputation..

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