Prevalência de fatores de risco e lesões do pé diabético em pacientes portadores de Diabetes Mellitus em serviço de endocrinologia em Aracaju

Abstract

Introduction: Diabetic foot is one of diabetes mellitus (DM) major long-term consequences and leads to a large number of hospital admissions and costs for the public health system. SiSPED was created as an attempt to provide support to diabetic foot screening and prevention. Objective: To evaluate the prevalence of risk factors and lesions of diabetic foot by using SiSPED as well as to analyze their association with abnormalities identified by physical examination on patients of a public health system Endocrinology service in Aracaju. Method: SiSPED questionnaire review of 190 individuals with DM. Data were described by using percentage frequency, mean and standard deviation. Goodman and Krustal Tau and Eta tests and a binominal logistic regression were performed, considering statistically relevant p < 0,05. Results: We found 3,7% of foot ulcers and 2,6% of amputations. DM type, neuropathy, neuropathy disability score, amputation and retinopathy were correlated with diminished or absent pulses and loss of protective sensitivity. Interdigital mycosis, onychomycosis, previous hospital admission due to diabetic foot, and systemic arterial hypertension were correlated to the first condition and type of treatment, anhidrosis and callus were correlated with the second one. Conclusion: Patients from the service had similar frequencies of abnormal pulses and loss of protective sensitivity and lower frequencies of amputations and ulcers when compared to other studies. SiSPED pioneer use as an evaluation tool on diabetic foot in Aracaju may justify these data.