ECE2022 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (318 abstracts)
Description of patients with diabetic foot of neuropathic and vascular cause cared for in a multidisciplinary Diabetic Foot Unit
Ana Piñar Gutiérrez , Noelia Gros-Herguido , Fernando Losada-Viñau , Fatima Farfan-Diaz , Monica Enriquez-Pérez , Carmen Ruiz-Trillo , Felipe Pareja Ciuro , Lucas Mengibar Fuentes & Alfonso Soto-Moreno
Virgen del Rocío University Hospital, Sevilla, Spain
Objective: 6% of people with diabetes present with diabetic foot as a complication, which means greater morbidity and mortality compared to those who do not. Its diagnosis and management by multidisciplinary teams including surgeons can improve these patients’ care. The objective was to analyze the main characteristics of patients and health results obtained, as well as to evaluate the impact of PAD (peripheral artery disease) existence in patients cared for in our multidisciplinary Diabetic Foot Unit.
Research Design and Methods: Observational prospective study. 273 patients from two different populations (with and without PAD - classified according to the presence of distal pulses-) attended in a 14-month period in the multidisciplinary Diabetic Foot Unit were included. Data on patient’s characteristics and outcomes were analyzed in order to compare them. For inference study, a comparison of medians with the non-parametric test for independent samples for the quantitative variables and an X2 test for the comparison of proportions in qualitative variables were performed.
Results: n=273
| With pulse | Without pulse | |
| N | 135 | 138 |
| Male | 108(80%) | 95(69%) |
| Age* | 60(54-67) | 64(75-81) |
| HbA1c(%) | 7,6(6,7-9,5) | 6.9(5,6-8,05) |
| Type 2 Diabetes | 118(87%) | 128(93%) |
| Previous ulcers* | 71(52%) | 37(27%) |
| Hypertension* | 88(65%) | 114(82%) |
| Dyslipemia* | 78(60%) | 107(77%) |
| Smoking history | 83(61%) | 63(46%) |
| Nephropathy | 47(35%) | 48(35%) |
| Retinopathy* | 45(50%) | 28(32%) |
| Coronary disease* | 11(8%) | 40(29%) |
| Cerebrovascular disease* | 9(7%) | 25(18%) |
| Number of consultations* Hospitalization | 3(1-6) 38(28%) | 1(1-2) 49(35,5%) |
| Amputation Major amputation* | 31(23%) 2(1,4%) | 43(31%) 17(12,3%) |
| Antibiotherapy* Intravenous antibiotherapy | 87(64,4%) 38(28%) | 71(51,4%) 44(32%) |
| Revascularization | 28(20%) | |
| *p<0.05 | ||
Conclusions: Patients with PAD are older, and presented with a greater macrovascular burden and a history of previous ulcers. However, patients with neuropathic foot presented with more microvascular complications, with similar metabolic control in both groups
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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