Prevalence and Risk Factors for Amputations in Patients with Diabetic Foot

Authors

  • Wilder Alcántara Pío Departamento de Medicina Interna Hospital Nacional Dos de Mayo Lima, Perú
  • Ramón Flores Departamento de Medicina Interna Hospital Nacional Dos de Mayo Lima, Perú
  • Fausto Garmendia Instituto de Investigaciones Clínicas Facultad de Medicina Universidad Nacional Mayor de San Marcos Lima, Perú

DOI:

https://doi.org/10.15381/anales.v60i3.4449

Keywords:

Diabetes Mellitus, Foot, Amputation, Diabetic Neuropathies

Abstract

OBJECTIVE: To determine the prevalence and risk factors associated to diabetes-related lower limb amputations. MATERIAL AND METHODS: A descriptive, retrospective, longitudinal study, assessing the foots’ survival among 206 inpatients with diabetic foot at Hospital Nacional Dos de Mayo, between 1989 and 1997. RESULTS: Mean age was 61,4 years (range 27-86). Most of patients had tipe II diabetes mellitus (96,21%). Wagner’s classification of diabetic foot lesions was used to stratify the cases. Grades II - III in 35,92% and IV - V in 64,08% of patients were seen. 126 patients underwent amputation (61,16%), and 13 a reamputation (10%) of the lower limb. The main risk factors related to amputations were neuropathies (85,71%) and vasculopathy (71,43%). Mean age of amputation was 65,8 years. Two-months accumulated foot survival rate was 29% and amputation rate was 4%; whereas these were 16% and 25%, respectively at 13 months. CONCLUSIONS: Prevalence of amputations among diabetic foot inpatients was 61%. The main risk factors were neuropathies and vasculopathies. Amputation risk doesn’t decrease with a longer hospital length of stay.

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Published

1999-09-20

Issue

Vol. 60 No. 3 (1999)

Section

Trabajos originales

License

Copyright (c) 1999 Wilder Alcántara Pío, Ramón Flores, Fausto Garmendia

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How to Cite

1.
Alcántara Pío W, Flores R, Garmendia F. Prevalence and Risk Factors for Amputations in Patients with Diabetic Foot. An Fac med [Internet]. 1999 Sep. 20 [cited 2024 Jul. 31];60(3):159-64. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4449