Grau de risco de ulceração e reulceração do pé Diabético e fatores associados

Abstract

RISK DEGREE OF ULCERATION AND REULCERATION OF THE DIABETIC FOOT AND ASSOCIATED FACTORS Introduction: Lower limb amputations in diabetics are related significantly with the presence of foot consultation. Early identification of changes that preceding the consultation allows the adoption of therapeutic and preventive measures that can reduce the occurrence of ulceration and, consequently, amputation. Objectives: Describe the distribution of the degree of risk of diabetic foot and associated factors in patients from one center reference in the treatment of diabetes mellitus (DM). Material and methods: Study cross-sectional with 309 with DM included, selected in the outpatient clinics of the State Reference Center for Diabetes Care and Endocrinology da Bahia), being analyzed the following variables: risk of ulceration and reulceration (UR); socio-demographics; difficulties regarding the use of shoes; related to foot care and changes in physical examination of the feet. Results: About 20% of the were classified at risk of RU. The following associations were observed for means of logistics and prevalence ratio (PR): between the degree of RU prevalence and the presence of callus and interdigital skin maceration; between family income less than three shopping and callus; between time of DM ≥ 10 years and interdigital skin maceration; in between DM ≥ 10 years, sex, schooling and degree of risk of RU. Conclusion: The results can contribute to the review and improvement of diabetic foot care and serve as a basis for prospective study on UR insufficiency and associated factors