Rubio José Antonio, Aragón-Sánchez Javier, Lázaro-Martínez José L, Almaraz María Cruz, Mauricio Didac, Antolín Santos Juan B, Díaz Pérez José Ángel, Fabbi Matteo, Lozano Del Hoyo María Luisa, Vela María Pilar
Departamento de Endocrinología y Nutrición, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
Unidad de Pie Diabético, Departamento de Cirugía, Hospital La Paloma, Las Palmas de Gran Canaria, España.
Endocrinol Nutr. 2014 Feb;61(2):79-86. doi: 10.1016/j.endonu.2013.07.002. Epub 2013 Nov 5.
To ascertain the number of diabetic foot units (DFUs) in Spain, the specialists working in them, and the population covered by them.
The Spanish Group on the Diabetic Foot (SGDF) prepared and agreed a questionnaire based on the recommendations of the 2011 International Consensus on the Diabetic Foot (ICDF). From October to December 2012, the questionnaire was sent to members of three scientific societies formed by professionals involved in the care of patients with diabetes mellitus. Population coverage of the responding centers and DFUs was estimated using the 2012 population census.
Seventy five questionnaires were received, 64 of them from general hospitals, which accounted for 13% of the general hospitals of the National Health System. It was calculated that they provided coverage to 43% of the population. Thirty four centers answered that they had a DFU. Specialized diabetic foot care was only provided to 25% of the population. The number of different professionals working at diabetic foot units was 6.3±2.7. Classification of DFUs based on their complexity was as follows: 5 basic units (14.7%), 20 intermediate units (58.8%), and 9 excellence units (26.5%).
The number of DFUs reported in this study in Spain is low, and allow for foot care of only one out of every four patients with diabetes. Spanish health system needs to improve diabetic foot care by creating new DFUs and improving the existing ones.
确定西班牙糖尿病足治疗单元（DFU）的数量、在其中工作的专家以及它们所覆盖的人群。
西班牙糖尿病足研究小组（SGDF）根据2011年糖尿病足国际共识（ICDF）的建议编制并商定了一份调查问卷。2012年10月至12月，该问卷被发送给由参与糖尿病患者护理的专业人员组成的三个科学学会的成员。使用2012年人口普查数据估算了回复中心和DFU的人口覆盖范围。
共收到75份问卷，其中64份来自综合医院，占国家卫生系统综合医院的13%。据计算，这些医院覆盖了43%的人口。34个中心回答他们设有DFU。只有25%的人口接受了专门糖尿病足护理。在糖尿病足治疗单元工作的不同专业人员数量为6.3±2.7。根据DFU的复杂程度进行分类如下：5个基础单元（14.7%）、20个中级单元（58.8%）和9个卓越单元（26.5%）。
本研究报告的西班牙DFU数量较少，仅能为每四位糖尿病患者中的一位提供足部护理。西班牙卫生系统需要通过创建新的DFU并改善现有DFU来加强糖尿病足护理。
