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Assessment of ulceration risk in diabetic individuals.

作者信息

Dutra Luz Marina Alfonso, Novaes Maria Rita Carvalho Garbi, Melo Manuela Costa, Veloso Danyelle Lorrane Carneiro, Faustino Dayane Leticia, Sousa Leila Maria Sales

机构信息

College of Health Sciences, Universidade de Brasília, Brasília, Distrito Federal, Brazil.

Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.

出版信息

Rev Bras Enferm. 2018;71 Suppl 2:733-739. doi: 10.1590/0034-7167-2017-0337.

DOI:10.1590/0034-7167-2017-0337
PMID:29791638
Abstract

OBJECTIVE

To identify the risk factors for foot ulceration through the tracing of diabetic peripheral neuropathy and peripheral arterial disease in individuals with type I and II diabetes, who were assisted in reference centers of the Federal District, Brazil.

METHOD

a cross-sectional and analytical study, with the assessment of 117 individuals in outpatient clinics of the Federal District. Continuous variables were compared through Mann-Whitney test, and categorized variables, through Chi-square test for univariate analysis and Logistics regression test for multivariate analysis.

RESULTS

painful diabetic peripheral neuropathy was present in 37 (75.5%) of the individuals with neuropathy. Deformities and loss of protective plant sensibility were related to neuropathy (p=0.014 and p=0.001, respectively). Of the 40 (34.2%) individuals in the sample who presented peripheral arterial disease, 26 (65%) presented calcification risk.

CONCLUSION

signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.

摘要

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