Factores asociados al desarrollo de pie diabético en pacientes con diabetes mellitus tipo 2, atendidos en el servicio de consulta externa del Distrito de Salud 01D04 durante el año 2019

Abstract

Background: Diabetic foot have devastating complications, including amputations, poor quality of life, and life-threatening infections. They are costly and consume health care resources. These consequences have serious clinical and public health implications. Objective: To determine the frequency of diabetic foot disease and its relationship with associated factors in patients with type 2 diabetes mellitus treated in the health facilities that make up District 01D04. Material and Methods: A retrospective cross-sectional analytical study was carried out with 147 medical records that met the inclusion criteria, the data obtained were entered and analyzed in the SPSS 20 program. Results: prevalence was 4. 8%, 71.4% were men, the most affected population was >60 years old with 85.7%, 85.7% had a disease evolution of more than 10 years, 71.4% had comorbidities, 28.6% had hypertension, dyslipidemia, nephropathy, respectively (2 patients for each comorbidity), none had neuropathy or a history of amputation, 57.1% had a BMI below 29.9, 100%, 85.7% had an HbA1C of >60 years old with an HbA1C of >60 years old, 85.7% had an HbA1C of >60 years old with an HbA1C of >60 years old with an HbA1C of >60 years old, 7% had HbA1C above 7%, 71.4% had cholesterol and triglycerides in normal values, and 71.5% used insulin, there was a statistically significant association in time of disease evolution >10years, presence of comorbidities, having HT, nephropathy, retinopathy, neuropathy, history of amputation, BMI >30, glucose >126mg/dl, HbA1C >7%, cholesterol >200mg/dl, with P-value <0.005. Conclusions: It is more frequent the development of diabetic foot in patients older than 60 years, men, with low schooling, who resided in urban area, who used insulin.