Risk factors and diagnosis of diabetic foot ulceration in users of the Brazilian public health system
Background. An individual with diabetes mellitus (DM) has an approximately 25% risk of developing ulcerations and/or destruction of the feet’s soft tissues. These wounds represent approximately 20% of all causes of hospitalizations due to DM. Objective. To identify the factors for the development...
| Main Authors: | Cardoso, Hígor Chagas, Zara, Ana Laura de Sene Amâncio, Rosa, Suélia de Siqueira Rodrigues Fleury, Rocha, Gabriel Alves, Rocha, João Victor Costa, Araújo, Maria Clara Emos de, Quinzani, Pedro de Freitas, Barbosa, Yaman Paula, Mrué, Fátima |
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| Format: | Artigo |
| Language: | Inglês |
| Published: |
Hindawi
2020
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| Subjects: | |
| Online Access: |
https://repositorio.unb.br/handle/10482/37794 https://doi.org/10.1155/2019/5319892 https://orcid.org/0000-0002-2091-5334 https://orcid.org/0000-0001-7012-9078 https://orcid.org/0000-0001-8756-1887 https://orcid.org/0000-0001-8657-7043 https://orcid.org/0000-0003-4927-550X https://orcid.org/0000-0001-7864-9510 https://orcid.org/0000-0001-8824-3928 |
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| Summary: |
Background. An individual with diabetes mellitus (DM) has an approximately 25% risk of developing ulcerations and/or
destruction of the feet’s soft tissues. These wounds represent approximately 20% of all causes of hospitalizations due to DM.
Objective. To identify the factors for the development of diabetic foot ulceration (DFU) among individuals treated by the
Brazilian public health system. Methods. This cross-sectional study was conducted on individuals with diabetes mellitus, aged
above 18 years, of both sexes, and during July-October 2018 within a public healthcare unit in Brazil. All participants were
assessed based on their socioeconomic, behavioral, and clinical characteristics, along with vascular and neurological evaluations.
All participants were also classified according to the classification of risk of developing DFU, in accordance with the
International Working Group on the Diabetic Foot (IWGDF). Statistical analyses were conducted using the chi-squared test,
chi-squared test for trend, and Fisher’s exact test, with a significance level of 5% (p < 0 05). Results. The study consisted of 85
individuals. The DFU condition was prevalent in 10.6% of the participants. Adopting the classification proposed by IWGDF,
observed risks for stratification categories 0, 1, 2, and 3 were 28.2%, 29.4%, 23.5%, and 8.2%, respectively. A statistically
significant (p < 0 05) association was observed between the development of DFU and the following variables: time since the
diagnosis of diabetes and the appearance of the nails, humidity, and deformations on the feet. Conclusion. The present study
found an elevated predominance of DM patients in the Brazilian public health system (SUS) featuring cutaneous alterations that
may lead to ulcers; these individuals had elevated risks of developing DFU. Furthermore, it was revealed that the feet of patients
were not physically examined during treatment. |
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