Abstract

ESCALANTE GUTIERREZ, David; LECCA GARCIA, Leonid; GAMARRA SANCHEZ, Julio  and  ESCALANTE GUTIERREZ, Giannina. Amputación del miembro inferior por pie diabético en hospitales de la costa norte peruana 1990 - 2000: características clínico-epidemiológicas. Rev. perú. med. exp. salud publica [online]. 2003, vol.20, n.3, pp.138-144. ISSN 1726-4634.

Objective: To identify the characteristic clinical-epidemiology of the amputation of the inferior member (AIM) by diabetic foot (DF) in patients of the peruvian north coast during years 1990-2000. Materials and methods: Study descriptive, retrospective, that collected information of patients taken care of 5 hospitals of 4 capitals of department of the peruvian north coast. Demographic data and the disease were collected (diagnosis and handling). Results: 250 patients were included: 21(8.4%) Hospital JAMO of Tumbes, 100 (40.0%) Hospital Cayetano Heredia of Piura, 45 (18%) Hospital Regional Docente Las Mercedes of Lambayeque, and 61 (24.4%) Hospital Belen and 23 (9.2%) Hospital Regional Docente of La Libertad 61.2% were men and the age average was 63.5±10 years. 98.4% presented DM type 2, 56.5% underwent greater amputations (p<0.05). 10.4% were sequential greater amputations. The time of reamputación he was ≤ 24 months in 71.3% (p<0.05). Stage of DF was identified according to Wagner in 44 (11.8%), with a Wagner fourth degree in 45.0%. The time of DM until first amputation was of 11-20 years (31.2%), emphasizing 13.6% cases with DF as first form of presentation of DM and 2.5% with sintomatología of long data but that lacked DM. Of the amputations, single 8,3% were put under debridaciones and 4.4% to revascularización Conclusions: Was an important frequency of DF and its complication of greater impact in the quality of life (amputation), emphasizing the deficiency of complementary diagnosis, as well as of previous procedures of salvataje to the amputation, those that would have to be improved looking for to diminish unnecessary amputations.

Keywords : Diabetic foot; diagnosis; Diabetic foot; surgery; Diabetic foot; complications; Amputation; Peru.

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