scholarly journals Pie de riesgo y su estratificación en diabéticos

2017 ◽  
Vol 1 (2) ◽  
pp. 68
Author(s):  
Bárbara Hidalgo Martínez ◽  
Jennifer Alexandra Cabezas Jama ◽  
Edgar Stefano Velásquez Ochoa ◽  
Rasiel Acosta Pérez

El pie diabético es una complicación de la diabetes mellitus (DM) que puede controlarse con el manejo del pie de riesgo (PR). Con el objetivo de determinar la prevalencia de los factores predis- ponentes de esta patología y su estratificación en el paciente diabético, se realizó un estudio des- criptivo transversal, con 824 pacientes que asistieron a la consulta externa de endocrinología del Hospital Humberto Pozo, de febrero a julio de 2016. Para la estratificación, se utilizó el Sistema de Clasificación de Riesgos del Consenso Internacional del pie diabético. Se encontró que el 58,3% de los pacientes, presentó PR, el 30,7% en Grado 1 y 22,4% en Grado 2. Los factores predispo- nentes más frecuentes son la neuropatía (36,7%), la enfermedad vascular periférica (32,1%) y las deformidades ortopédicas (15,7%). Se identificó una elevada prevalencia de PR que permite con un correcto manejo de los factores predisponentes, prevenir lesiones y amputaciones. Palabras clave: Pie de riesgo, pie diabético, amputación, prevención de pie diabético. Abstract Diabetic foot is a complication of diabetes mellitus that can be controlled with the management of the risk foot. In order to determine the prevalence of the predisposing factors of the risk foot and its stratification in the diabetic patient, a cross-sectional descriptive study was conducted with 824 dia- betic patients attending the outpatient clinic of endocrinology Humberto Pozo Hospital in the period from February to July 2016. For the stratification, the International Classification of Risks of the Dia- betic Foot Consensus was used. The most frequent predisposing factors were neuropathy (36.7%), peripheral vascular disease (32.1%) and orthopedic deformities (15.7%). A high prevalence of risk foot was identified that allows, with a correct management of the predisposing factors, to prevent injuries and amputations. Key words: risk foot, diabetic foot, amputation, prevention of diabetic foot.  

Author(s):  
Bárbara Hidalgo Martínez ◽  
Jennifer Alexandra Cabezas Jama ◽  
Edgar Stefano Velásquez Ochoa ◽  
Rasiel Acosta Pérez

El pie diabético es una complicación de la diabetes mellitus (DM) que puede controlarse con el manejo del pie de riesgo (PR). Con el objetivo de determinar la prevalencia de los factores predis- ponentes de esta patología y su estratificación en el paciente diabético, se realizó un estudio des- criptivo transversal, con 824 pacientes que asistieron a la consulta externa de endocrinología del Hospital Humberto Pozo, de febrero a julio de 2016. Para la estratificación, se utilizó el Sistema de Clasificación de Riesgos del Consenso Internacional del pie diabético. Se encontró que el 58,3% de los pacientes, presentó PR, el 30,7% en Grado 1 y 22,4% en Grado 2. Los factores predispo- nentes más frecuentes son la neuropatía (36,7%), la enfermedad vascular periférica (32,1%) y las deformidades ortopédicas (15,7%). Se identificó una elevada prevalencia de PR que permite con un correcto manejo de los factores predisponentes, prevenir lesiones y amputaciones. Palabras clave: Pie de riesgo, pie diabético, amputación, prevención de pie diabético. Abstract Diabetic foot is a complication of diabetes mellitus that can be controlled with the management of the risk foot. In order to determine the prevalence of the predisposing factors of the risk foot and its stratification in the diabetic patient, a cross-sectional descriptive study was conducted with 824 dia- betic patients attending the outpatient clinic of endocrinology Humberto Pozo Hospital in the period from February to July 2016. For the stratification, the International Classification of Risks of the Dia- betic Foot Consensus was used. The most frequent predisposing factors were neuropathy (36.7%), peripheral vascular disease (32.1%) and orthopedic deformities (15.7%). A high prevalence of risk foot was identified that allows, with a correct management of the predisposing factors, to prevent injuries and amputations. Key words: risk foot, diabetic foot, amputation, prevention of diabetic foot.  


2021 ◽  
Vol 2 (1) ◽  
pp. 49-55
Author(s):  
E U Iwuozo ◽  
J O Enyikwola ◽  
I O Obekpa ◽  
O O Ijachi ◽  
A A Godwin ◽  
...  

Electroencephalography (EEG) remains an important investigative tool in supporting the diagnosis and classification of various seizure types. We sought to examine and characterize the EEG findings from all patients referred for the procedure. This cross-sectional retrospective study was carried out at an EEG unit in Federal Medical Centre, Makurdi, Benue State, North Central Nigeria from May 2016 to December 2020. Relevant patients' information were extracted and analysed using SPSS version 21. A total of 484 patients were seen over the study period with age range of 1-87 years and median age of 23 years. They comprised of 254 (52.5%) male and 230 (47.5%) female. The psychiatrist and the Physicians/Neurologist referred most of them for EEG, 201 (41.5%) and 124 (25.6%) respectively. The most reported indication for EEG was clinical suspicion of seizure disorder 291 (60.1%), whilst some did not have a clear indication 111 (22.9%). About 417 (86.2%) of our patients had abnormal EEG finding out of which 414 (99.3%) were diagnostic of seizure disorder made up of generalized seizure in 255 (61.6%) and focal seizure in 159 (38.4%). About 237 (48.9%) of them were already on antiepileptic drugs (AEDs) at referral of which 190 (80.2%0 were taking carbamazepine. This study showed a high prevalence of abnormal EEG with most of them diagnostic of seizure disorder especially generalized seizure. They were mostly of younger age group with about half of them already on AEDs at referral, majority of who were sent by the Psychiatrist.


2019 ◽  
Vol 1 (1) ◽  
pp. 32-36
Author(s):  
Shahid Majeed ◽  
Nazia Mumtaz ◽  
Ghulam Saqulain

Background: Diabetes Mellitus (DM) is a common metabolic disorder with a prevalence of 11.77%. Studies report that DM can result in Sensorineural hearing loss (SNHL). A high prevalence of Hearing loss (HL) (43.6%) in diabetics was noted in an Indian study. In absence of local studies and a high expected prevalence, with no screening recommendations, this study was carried out to determine the prevalence of Sensorineural Hearing Loss (SNHL) in Diabetes Mellitus DM in Southern Punjab. Methodology: In this cross-sectional study, a sample of 310 diabetics, hailing from southern Punjab and fulfilling selection criteria were recruited. Samples were collected using probability sampling technique from September 2016 to December 2016. Following detailed history and examination, cases were subjected to pure tone audiometry (PTA) at 0.5 to 6 KHz to obtain hearing thresholds to determine the prevalence. Data was analyzed by SPSS 20. Results: Sample included N=310 diabetics with Mean age of 35.00 + 6.93 years with 58.39% males and 41.61% females. The prevalence of HL was 46.1%. Gender wise of the male population with HL, 27.97% and 28.67% had mild and moderate HL respectively with severe HL in 8.39% cases, while moderate HL was prevalent in females 20.98%, followed by mild HL in 9.97% and severe HL in 4.20%. There was significant correlation between Diabetes and SNHL with p-value < 0.05. Conclusion: There is a high prevalence of sensorineural hearing loss in Diabetes mellitus.


2018 ◽  
Vol 1 (1) ◽  
pp. 52-56
Author(s):  
Surya Martua Horas Harahap

According to Kemenkes RI, in 2013, the number of prostate cancer patient is 0.2% or approximately 25,012 patients. Prostate cancer is a malignancy in the prostatic gland and more than 95% of prostate cancer is adenocarcinoma, the other 5% is transitional cell and neuroendocrine carcinoma or sarcoma. Up to now, the etiology of prostate cancer is still unknown, but it involves multifactor and genetic mutations. This study is a descriptive study design with a retrospective cross sectional in the Urology Division of the Department of Surgery, General Hospital of H. Adam Malik Medan during period January to December 2014. From this study we found about 261 patients of Diabetes Mellitus who visited surgery, but only as many as 41 people (15.7%) performed prostate biopsy, and of the 41 people who had the most prostate cancer were 24 people (58.5%). The highest age range was 70-74 years (37.5%), with PSA values more than 50 ng / ml as much (33.3%), and the highest Gleason score in the range of 5-6 (50%)


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tesfamichael G. Mariam ◽  
Abebaw Alemayehu ◽  
Eleni Tesfaye ◽  
Worku Mequannt ◽  
Kiber Temesgen ◽  
...  

Diabetes mellitus is a metabolic disorder which is characterized by multiple long-term complications that affect almost every system in the body. Foot ulcers are one of the main complications of diabetes mellitus. However, there is limited evidence on the occurrence of foot ulcer and influencing factors in Ethiopia. An institutional-based cross-sectional study was conducted in Gondar University Hospital, Ethiopia, to investigate foot ulcer occurrence in diabetic patients. Systematic random sampling was used to select 279 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. Odds ratio with 95% confidence interval was computed to determine the level of significance. Diabetic foot ulcer was found to be 13.6%. Rural residence [AOR = 2.57; 95% CI: 1.42, 5.93], type II diabetes mellitus [AOR = 2.58; 95% CI: 1.22, 6.45], overweight [AOR = 2.12; 95% CI: 1.15, 3.10], obesity [AOR = 2.65; 95% CI: 1.25, 5.83], poor foot self-care practice [AOR = 2.52; 95% CI: 1.21, 6.53], and neuropathy [AOR = 21.76; 95% CI: 8.43, 57.47] were factors associated with diabetic foot ulcer. Diabetic foot ulcer was found to be high. Provision of special emphasis for rural residence, decreasing excessive weight gain, managing neuropathy, and promoting foot self-care practice would decrease diabetic foot ulcer.


2010 ◽  
Vol 4 (4) ◽  
pp. 1652
Author(s):  
Hélio Franciney Mota Fernandes ◽  
Roberto Wagner Júnior Freire de Freitas ◽  
Vanessa Emille Carvalho de Sousa ◽  
Marcos Venícios de Oliveira Lopes ◽  
Marta Maria Coelho Damasceno ◽  
...  

ABSTRACTObjective: evaluating habits related to the practice of physical activity of students from a public school in Fortaleza-Ceará city, Brazil. Methodology: this is about a cross-sectional and descriptive study accomplished with a hundred students from a public school in Fortaleza/Ceará. It has been registered social-demographic and anthropometric data, capillary glycemia and habits related to physical activity. Results: It has been detached teenagers of the women kind (54%), aged between the 12’s and 13’s (76%), studying at the 6th grade (49%) and with an Body Mass Index above the normal (59,1%). Concerning the sedentary, it has been identified the prevalence of 22%, of these, 30,5% were men, 23,7% were aged between the 12’s and the 13’s, 36,4% were over weighted, 22,7% obese and 4,6% presented glycemia above the normality. Conslusion: the review reinforces the importance of health educational attitudes for encouragement of the practice of physical activity as against the sedentary lifestyle. Descriptors: physical activity; sedentary; teenager health; diabetes mellitus type 2. RESUMOObjetivo: analisar a prevalência de sedentarismo entre adolescentes de uma escola pública de Fortaleza-Ceará, Brasil. Metodologia: estudo transversal e descritivo, realizado com 100 alunos de uma escola pública de Fortaleza/Ceará. Foram registrados dados sociodemograficos, antropométricos, glicemia capilar e hábitos relacionados à atividade física. Resultados: destacaram-se adolescentes do sexo feminino (54%), com faixa etária entre 12 e 13 anos (76%), cursando o 6º ano (49%) e com Índice de Massa Corporal acima do normal (59,1%). Quanto ao sedentarismo, foi identificada prevalência de 22%, desses, 30,5% eram homens, 23,7% tinha idade entre 12 e 13 anos, 36,4% estavam com sobrepeso, 22,7% com obesidade e 4,6% apresentaram glicemia acima da normalidade. Conclusão: o estudo reforça a importância de medidas de educação em saúde para o incentivo da prática de atividade física como combate ao sedentarismo. Descritores: atividade física; sedentarismo; saúde do adolescente; diabetes mellitus tipo 2.RESUMENObjectivo: evaluar hábitos relacionados con la práctica de la actividad física alumnos de una escuela pública de Fortaleza, Ceará, Brasil. Metodología: el estudio transversal y descriptivo, realizado con 100 alumnos de una escuela pública de Fortaleza/Ceará. Fueron registrados datos sociodemográficos, antropométricos, glucemia capilar y hábitos relacionados con la actividad física. Resultados: destacaron  adolescentes del sexo femenino (54%), de entre 12 y 13 años (76%), cursando el sexto año (49%) y con I.M.C. por encima de lo normal (59,1%). Con respecto al sedentarismo, se ha identificado una prevalencia de un 22%, entre ellos el 30,5% eran varones, el 23,7% con edad entre 12 y 13 años, el 36,4% tenían sobrepeso, el 22,7% eran obesos y el 4,6% presentaron glucemia por encima de la normalidad. Conclusión: el estudio corrobora la importancia de medida de educación en salud para el fomento de la práctica de actividad física como combate al sedentarismo. Descriptores: actividad física; sedentarismo; salud del adolescente; diabetes mellitus tipo 2. 


2019 ◽  
Vol 27 (1) ◽  
pp. 017
Author(s):  
Suzanna Ndraha ◽  
Hervico Dwicahya Putra ◽  
Hervico Dwicahya Putra ◽  
Caesaredo Derza Polas ◽  
Caesaredo Derza Polas ◽  
...  

<p><em>Diabetes mellitus (DM) is one of the most common disease found in clinical practice in Koja General Hospital. According to the previous research, the prevalence of diabetes patients has never been investigated. Aim of this study was to find out the proportion of diabetes subjects hospitalized in Koja General Hospital.</em></p><p><em>This was a descriptive study with a cross sectional approach. Data was taken by consecutive sampling method from diabetes mellitus subjects aged ≥18 years who were hospitalized in the department of internal medicine Koja General Hospital in the period of August 20, until September 30, 2018.</em></p><p><em>The proportion of diabetes subjects in Koja General Hospital was 42% (155 patients) out of a total of 368 subjects. The age of diabetes subjects with the majority of elderly adults (26-65 years) as much as 84% (131 patients) of 155 diabetes subjects. Gender were dominated by woman as 59% (91 patients) out of a total of 155 subjects and the remaining men were 41% (64 patients). The most frequent indication of treatment in diabetes subjects is chronic kidney failure (CKD) as much as 22 patients (14.2%).</em></p><p><em>The proportion of diabetes subjects who were hospitalized was 42% (155 people) of a total of 368 subjects.</em></p>


2017 ◽  
Vol 24 (12) ◽  
pp. 1844-1851
Author(s):  
Muhammad Imran Hassan Khan ◽  
Junaid Mushtaq ◽  
Ibtesaam Amjad ◽  
Israr ul Haque Toor ◽  
Ghias un Nabi Tayyab

Objectives: The objective to identify prevalence of different types of type 2Diabetes in our population and relate them with the Gender and Duration of disease. StudyDesign: Retrospective study. Period: January 2014 to December 2015, 2 years. Setting:Lahore General Hospital, Lahore. Method: On admitted record of 269 patients (171 Men and98 females), known to have complications during ward stay. Data was analyzed on SPSS 20and results calculated. Results: 232 patients (86.2%) showed one or more complications.Most common was diabetic nephropathy 117 (43.5% patients), followed by diabetic foot 94(34.9%), and then others. A comparison between genders exposed, an equal distribution ofcomplications. 233 patients had poor blood sugar control, with 107 having hypertension. Whenduration was considered as a variable over a period of 10 years, maximum complication wasof diabetic foot (66), followed by renal failure (64). Main reason identified was non-complianceto medication and infrequent follow-ups. When a less duration of 5 years was put as variable,there were very few complications, with their total number reduced to 24. Conclusion: Type2 Diabetes causes higher number of complications. Frequency among different genders wassimilar. They were associated with high prevalence of risk factors, such as poor blood sugarcontrol, concomitant hypertension and poor compliance to medication. Duration of disease hasimpact on the complications.


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