Maira Sayuri Sakay Bortoletto1, Selma Maffei de Andrade2, Tiemi Matsuo3, Maria do Carmo Lourenço Haddad4, Alberto Durán González2, Ana Maria Rigo Silva2. 1. Department of Public Health, Postgraduate Program of Public Health, State University of Londrina, Brazil. Electronic address: mairabortoletto@hotmail.com. 2. Department of Public Health, Postgraduate Program on Public Health, State University of Londrina, Avenida Robert Koch, 60 CEP-8603835, Brazil. 3. Department of Statistics, Postgraduate Program on Public Health, State University of Londrina, Avenida Robert Koch, 60 CEP-86038350, Brazil. 4. Department of Nursing, Postgraduate Program on Nursing, State University of Londrina, Avenida Robert Koch, 60 CEP-86038350, Brazil.
Abstract
AIMS: To identify the prevalence of higher risk of foot ulceration and associated factors among patients with diabetes mellitus (DM) at primary health care services. METHODS: Individuals with DM, registered at primary health care services in a municipality in southern Brazil, were interviewed and underwent foot examinations. Their risk of ulceration was classified in accordance with the recommendations of the International Working Group on the Diabetic Foot. Poisson bivariate and multivariate analyses were performed and adjusted prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. RESULTS: The prevalence of higher risk of foot ulceration among the 337 interviewees was 27.9% (95% CI 23.1-32.9). The following factors were associated with this risk: having been diagnosed with DM for more than 10 years (Adjusted-PR 1.669; 95% CI 1.175-2.373; p=0.004); having had previous diagnoses of acute myocardial infarction (Adjusted-PR 1.873; 95% CI 1.330-2.638; p<0.001) and stroke (Adjusted-PR 1.684; 95% CI 1.089-2.604; p=0.019); presenting interdigital mycosis (Adjusted-PR 1.539; 95% CI 1.030-2.300; p=0.035) and calluses (Adjusted-PR 1.654; 95% CI 1.117-2.451; p=0.012). CONCLUSIONS: The prevalence of higher risk of ulceration was high, which reinforces the importance of continued education for health care professionals in order to prevent complications in the feet of these patients.
AIMS: To identify the prevalence of higher risk of foot ulceration and associated factors among patients with diabetes mellitus (DM) at primary health care services. METHODS: Individuals with DM, registered at primary health care services in a municipality in southern Brazil, were interviewed and underwent foot examinations. Their risk of ulceration was classified in accordance with the recommendations of the International Working Group on the Diabetic Foot. Poisson bivariate and multivariate analyses were performed and adjusted prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. RESULTS: The prevalence of higher risk of foot ulceration among the 337 interviewees was 27.9% (95% CI 23.1-32.9). The following factors were associated with this risk: having been diagnosed with DM for more than 10 years (Adjusted-PR 1.669; 95% CI 1.175-2.373; p=0.004); having had previous diagnoses of acute myocardial infarction (Adjusted-PR 1.873; 95% CI 1.330-2.638; p<0.001) and stroke (Adjusted-PR 1.684; 95% CI 1.089-2.604; p=0.019); presenting interdigital mycosis (Adjusted-PR 1.539; 95% CI 1.030-2.300; p=0.035) and calluses (Adjusted-PR 1.654; 95% CI 1.117-2.451; p=0.012). CONCLUSIONS: The prevalence of higher risk of ulceration was high, which reinforces the importance of continued education for health care professionals in order to prevent complications in the feet of these patients.
Authors: Mariana Angela Rossaneis; Maria do Carmo Fernandez Lourenço Haddad; Thaís Aidar de Freitas Mathias; Sonia Silva Marcon Journal: Rev Lat Am Enfermagem Date: 2016-08-15
Authors: Maria Teresa Verrone Quilici; Fernando de Sá Del Fiol; Alexandre Eduardo Franzin Vieira; Maria Inês Toledo Journal: J Diabetes Res Date: 2016-02-22 Impact factor: 4.011