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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
versión On-line ISSN 2312-3893
Resumen
VERA MARECOS, Fanny; ROMERO PANIAGUA, Fernando Ariel; VELAZQUEZ ACUNA, Rosalía Irene y GONZALEZ ESPINOLA, Eduardo Agustín. Characterization of patients with diabetic foot of the Villarrica Regional Hospital, Paraguay, in the period 2023 - 2024. Rev. virtual Soc. Parag. Med. Int. [online]. 2025, vol.12, n.1, e12122513. Epub 26-Mayo-2025. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2025.e12122513.
Introduction:
Diabetes can develop complications, especially in the feet, a condition favored by the presence of diabetic neuropathy and peripheral arteriopathy, which leads to infection, ulceration, and/or destruction of the deep tissues of the foot.
Objectives:
To determine the characteristics of patients with diabetic foot attending the office and hospitalization service at the Regional Hospital of Villarrica, Paraguay, in the period 2023-2024.
Methods:
An observational, descriptive, cross-sectional design was applied to patients diagnosed with diabetic foot in the diabetes program of the Villarrica Regional Hospital from 2023 to 2024.
Results:
One hundred thirty-one patients were included, of which 62% were male, with an age range of 40 to 60 years, 57% with primary schooling, and 36% with marital status of free union. The most frequent comorbidities were the use of inadequate footwear 67%, neuropathy 62% and vasculopathy 57%. According to the Wagner scale for diabetic foot disease, 44% had grade 4 (limited gangrene), and 23% grade 3 (deep ulcers). Surgical approach treatments were the most used (53%).
Conclusion:
The predominant sex was male, with an age range of 40 to 60 years, with low educational levels. The most frequent comorbidities were inadequate footwear, neuropathy, and vasculopathy. The most frequent grades of diabetic foot were grades 4 and 3. Surgical approach treatments were the most frequently used.
Palabras clave : diabetes mellitus; diabetic foot; diabetic angiopathy; diabetic neuropathy; gangrene.












