Abstract

OVELAR, Helen López et al. Characterization of patients with diabetic foot in the emergency service of the Hospital de Clínicas, Paraguay. Period 2015-2016. Rev. cient. cienc. salud [online]. 2021, vol.3, n.1, pp.63-70. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/03.01.2021.63.

Objective: to determine the characteristics of patients diagnosed with Diabetic Foot in an emergency service. Materials and methods: a retrospective, descriptive study, based on the review of 525 medical records of patients who attended the Emergency-Adult service of the Hospital de Clínicas, Faculty of Medicine, National University of Asunción, Paraguay between the years 2015 and 2016. The following data were collected: age, sex, comorbidities, treatment, type of amputations, identification of the mechanism and place of initiation of injuries; destination of patients after emergencies and mortality. Results: The frequency of Diabetic Foot was 40% of 2718 patients with Diabetes, 60% were male, average age was 63 years (± 10), 34 (65.3%) had a history of high blood pressure, previous amputation 99 (18.9%), ischemic heart disease 56 (10.7%), stroke 21 (4%), smoking 18 (3.4%), 274 (52%) received surgical treatment, of which 199 were amputations (73%); 56% major amputations, 256 of 356 patients (72%) did not identify a traumatic cause of the injury; 270 (51%) referred to the fingers as the place of initiation of lesions. There were 336 discharges (64%) and 14 patients (2.67%) died. Conclusion: High frequency of patients with diabetic foot in the Emergency Department, which makes it urgent to establish structured programs for prevention and multidisciplinary treatment.

Keywords : diabetic foot; emergencies; amputation; diabetes mellitus, complications..

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