Variables predictivas de amputación en pacientes con pie diabético en un hospital de segundo nivel de Ecuador

Abstract

Background: Diabetes mellitus is a metabolic disease with an elevated risk of presenting ulcers in the lower extremities (diabetic foot ulcers), that in some cases may end in the amputation of such extremities. Objective: To identify the predictive variables of amputations in patients diagnosed with diabetic foot ulcers at the Verdi Cevallos Hospital from January 2017 to December 2018. Methodology: A retrospective and correlational study were carried out which included 130 patients diagnosed with diabetic foot. Multivariate and univariate nonparametric statistical inference techniques were used for the correlation of qualitative variables, as well as their directionality. Results: Correlation was found between advanced chronic renal failure, poor glycemic control, severe peripheralvasculardisease,andulcerseverityaccordingtotheWagner-Merritclassificationwithfutureamputation.Conclusion: Poor glycemic control, advanced chronic renal failure, severe peripheral vascular disease and stages 4 and 5 of the Wagner-Merrit classification were predictive factors for amputation in patients with diabetic foot.