Características clínico-epidemiológicas de los pacientes amputados ingresados a la unidad de pie diabético del Hospital Abel Gilbert Pontón, Ecuador

Abstract

© 2019, Sociedad Venezolana de Farmacologia y de Farmacologia Clinica y Terapeutica. All rights reserved. Objective: To evaluate the clinical epidemiological characteristics of amputee patients admitted to the diabetic foot unit of the Hospital Abel Gilbert Pontón, Ecuador. Materials and methods: This was a descriptive and retrospective study in patients older than 25 admitted to the dia-betic foot unit of the Hospital de Especialidades de Guayaquil Dr. Abel Gilbert Pontón who had undergone amputation, related to diabetes mellitus in the period from January to December 2014. The clinical records found in the data and statistics department of the aforementioned hospital were used for this study. Results: Out of the 147 patients evaluated, 63% (n=93) were male, the most common age group was 50-70 years old (37%, n=54), most of them had only primary education (69%, n=102) and came from urban areas (87%, n=125), the most frequent comorbidity was hypertension (44.9%, n=66), skin and soft tissue infection was the most prevalent cause of admission (49%, n=72), while 69% (n=101) was more than 10 years of diabetes evolution, and suprarotulian amputation was the most used procedure (52%, n=76). Conclusion: There is a high frequency of patients with diabetic foot admitted to the Hospital Abel Gilbert Pontón undergoing amputation, whose most prevalent factors were the male gender, the age between 50-70, the low educational status, urban living, the coexistence of hypertension, infection as the most important cause of admission and the diabetes evolution over 10 years.