Predictive factors for amputations: knowing the problem to seek prevention strategies
DOI:
https://doi.org/10.33448/rsd-v9i2.2017Keywords:
Amputations; Diabetes mellitus; Neuropathy; Health Education.Abstract
Objective: To investigate the predictive factors for amputations in southern Brazil. Methods: This was a review of medical records from amputated patients in a tertiary hospital in southern Brazil. Results: One hundred and fifteen medical reports regarding to admissions of 51 amputated patients (31.37% women and 68.62% men) were analyzed. The main cause of amputation in diabetics was the neuropathy and its complications. Among nondiabetics, the main causes of amputation were polydactyly (31.58%) and traumatism (traffic accidents, home accidents, and work accidents). This data showed that the investigated amputations are predominantly in male, aging approximately sixty years old, presenting comorbidities like diabetes and arterial hypertension. Moreover, the most amputations were performed as the minor type. Conclusion: These data can contribute for implementation of targeted health education strategies and interventions, improving the prevention of amputations in persons with diabetes.
References
Agne, J., Cassol, C.M., Bataglion, D., & Ferreira, F.V. (2004). Identificação das causas de amputações de membros no hospital universitário de Santa Maria. Saúde, 30, 84-89.
Assumpção, E.C., Pitta, G.B., Macedo, A.C.L., Mendonça, G.B., Albuquerque, L.C.A., Lyra, L.C.B., Timbó, R.M., & Buarque, T.L.L. (2009). Comparação dos fatores de risco para amputações maiores e menores em pacientes diabéticos de um programa de saúde da família. J. Vasc. Bras., 8, 133-138.
Bakker, K., Apelqvist, J., Lipsky, B.A., Netten, J.J.V., & Schaper, N.C. (2016). The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diab. Metab Res. Rev., 32, 2–6.
Boyko, E.J., Ahroni, J.H., Cohen, V., Nelson, K.M., & Heagerty, P.J. (2006). Prediction of diabetic foot ulcer occurrence using commonly available clinical information: the Seattle Diabetic Foot Study. Diab. Care. 29, 1202-1207.
Brito, D.C.S. (2009). A orientação profissional como instrumento reabilitador de pacientes portadores de doenças crônicas e deficiências adquiridas. Psicologia em Revista, 15, 106-119.
Brown, S.A. (1992). Meta-analysis of diabetes patient education research: variations in intervention effects across studies. Res. Nurs. Health, 15, 409-419.
Cardoso, C.R.L., & Salles, G.F. (2008). Predictors of development and progression of microvascular complications in a cohort of Brazilian type 2 diabetic patients. J. Diabetes Complications, 22, 164-170.
Castro, S.S., César, C.L.G., Carandina, L., Barros, M.B.A., Alves, M.C.G.P., & Goldbaum, M. (2008). Deficiência visual, auditiva e física: prevalência e fatores associados em estudo de base populacional. Cad. Saúde Pública, 24 1773-1782.
Clark, M., & Hampson, S.E. (2001). Implementing a psychological intervention to improve lifestyle self-management in patients with type 2 diabetes. Patient Educ. Couns., 42, 247-256.
Falcão, I.M., Pinto, C., Santos, J., Fernandes, M.L., Ramalho, L., Paixão, E., & Falcão, J.M. (2008). Estudo da prevalência da diabetes e das suas complicações numa coorte de diabéticos portugueses: Um estudo na Rede Médicos Sentinela. Rev. Port. Clin. Geral, 24, 679-692.
Grillo, M.F.F., & Gorini, M.I.P.C. (2007). Caracterização de pessoas com diabetes mellitus tipo 2. Rev. Bras. Enferm., 60, 49-54.
Hatzitolios, A.I., Didangelos, T.P., Zantidis, A.T., Tziomalos, K., Giannakoulas, G.A., & Karamitsos, D.T. (2009). Diabetes mellitus and cerebrovascular disease: which are the actual data? J. Diabetes Complications, 23, 283-296.
Houtum, W.H.V., Lavey, L.A., & Harkless, L.B. (1996). The impact of diabetes-related lower-extremity amputations in the Netherlands. J. Diabetes Complications, 10, 325-330.
Huang, E.S., O’grady, M., Basu, A., & Capretta, J.C. (2009). Projecting the future diabetes population size and related costs for the U.S. Diab. Care, 32, 2225-2229.
International Diabetes Federation. (2017). IDF Diabetes Atlas 8th Edition. https://www.idf.org/e-library/epidemiology-research/diabetes-atlas.html. (accessed 31 January 2018).
International Working Group on the Diabetic Foot. (2017). http://www.iwgdf.org. (accessed 22 August 2017).
Karakoc, A., Ersoy, R.U., Arslan, M., Toruner, F.B., & Yetkin, I. (2004). Change in amputation rate in a Turkish diabetic foot population. J. Diabetes Complications, 18, 169-172.
Macedo, J.L., Oliveira, A.S.S.S., Pereira, I.C., Reis, E.R., & Assunção, M.J.S.M. (2019). Epidemiological profile of diabetes mellitus in northeastern Brazil. Res., Soc. Dev., 8(3), 1-12.
Maldonato, A., Bloise, D., Ceci, M., Fraticelli, E., & Fallucca, F. (1995). Diabetes mellitus: lessons from patient education. Patient Educ. Couns., 26, 57-66.
Nather, A., Bee, C.S., Huak, C.Y., Chew, J.L.L., Lin, C.B., Shuhui Neo, S., & Sim, E.Y. (2008). Epidemiology of diabetic foot problems and predictive factors for limb loss. J. Diabetes Complications, 22, 77- 82.
Nunes, M.A.P., Resende, K.F., Castro, A.A., Pitta, G.B.B., Figueiredo, L.F.P., & Miranda Jr, F. (2006). Fatores predisponentes para amputação de membro inferior em pacientes diabéticos internados com pés ulcerados no estado de Sergipe. J. Vasc. Bras., 5, 123-130.
Otiniano, M.E., Dua, X., Ottenbachera, K., Blacke, S.A., & Markidesa, K.S. (2003). Lower extremity amputations in diabetic Mexican American elders Incidence, prevalence and correlates. J. Diabetes Complications, 17, 59-65.
Padilla, R., & Mehler, P. (2001). Treatment of hypertension in type 2 diabetes. J. Womens Health Gend. Based Med., 10, 897-905.
Pagano, E., Bo, S., Petrinco, M., Rosato, R., Merletti, F., & Gregori, D. (2007). Factors affecting hospitalization costs in Type 2 diabetic patients. J. Diabetes Complications, 23, 1- 6.
Papazafiropoulou, A., Tentolouris, N., Soldatos, R.P., Liapis, C.D., Dounis, E., Kostakis, A.G., Bastounisd, E., & Katsilambrosa, N. (2009). Mortality in diabetic and non diabetic patients after amputations performed from 1996 to 2005 in a tertiary hospital population: a 3-year follow-up study. J. Diabetes Complications, 23, 7-11.
Rezende, K.F., Nunes, M.A.P., Melo, M.H., Malerbi, D., Chacra, A.R., & Ferraz, M.B. (2008). Internações por pé diabético: comparação entre o custo direto estimado e o desembolso do SUS. Arq. Bras. Endocrinol Metabol., 52, 523-530.
Rodrigues, F.F.L., Alves, D., Teixeira, C.R.S., Arrelias, C.C.A., Torquato, M.T.C.G., Santos, M.A., & Zanetti, M.L. (2017). The hospitalization profiles of patients with or without diabetes treated for nontraumatic lower extremity amputation in Ribeirão Preto, São Paulo State, Brazil, 2001–2008. J. Vasc. Nur., 35, 64-69.
Rosa, R.S., Schmidt, M.I., Duncan, B.B., Souza, M.F.M., Lima, A.K., & Moura, L. (2007). Internações por diabetes mellitus como diagnóstico principal na rede pública do Brasil, 1999-2001. Rev. Bras. Epidemiol., 10, 465-478.
Sado, M.J., Morais, F.D., & Viana, F.P. (2009). Caracterização das vítimas por acidentes motociclísticos internadas no hospital de urgências de Goiânia. Rev. Movimenta, 2, 49-53.
Salgueiro, A.C.F., Silva, E.F.S.J., Brito, V.B., Puntel, G.O., & Folmer, V. (2015). Care and prevention of diabetic foot: perceptions of diabetic patients. Rev. Bras. Pesq. Saúde, 17, 7-14.
Santana, L.C.B., Soares, T.C., Wenzel, A.P.B.H., Blanche, B.R., Benevides, L.K.B., Soares, T.C., & Câmara, G.B. (2020). Health promotion of hypertensive and diabetic patients from the problematization of the territory. Res., Soc. Dev., 9(1), 1-14.
Santos, A.M.R., Moura, M.E.B., Nunes, B.M.V.T., Leal, C.F.S., & Teles, J.B.M. (2008). Perfil das vítimas de trauma por acidente de moto atendidas em um serviço público de emergência. Cad. Saúde Pública, 24, 1927-1938.
Shin, J.Y., Roh, S.G., Lee, N.H., & Yang, K.M. (2017). Influence of epidemiologic and patient behavior–related predictors on amputation rates in diabetic patients: Systematic review and meta-analysis. Int. J. Low. Extrem. Wounds, 16, 14–22.
Silva, R.C.P., Simões, M.J.S., & Leite, A.A. (2007). Fatores de risco para doenças cardiovasculares em idosos com diabetes mellitus tipo 2. Rev. Ciênc. Farm. Básica Apl., 28, 113-121.
Soares, N.S., Rocha, T.K., Carvalho, G.P., Viegas, K., Geremia, C., & Canabarro, S.T. (2018). Knowledge of the relatives of children with diabetes mellitus 1 attended at a referral center. Res., Soc. Dev., 7(7), 01-17,
Tavares, D.M.S., Dias, F.A., Araújo, L.R., & Pereira, G.A. (2009). Perfil de clientes submetidos a amputações relacionadas ao diabetes mellitus. Rev. Bras. Enf., 62, 825-830.
Van Dam, H.A., Van Der Horst, F.G., Knoops, L., Ryckman, R.M., Crebolder, H.F.J.M., & Van den Borne, B.H.W. (2005). Social support in diabetes: a systematic review of controlled intervention studies. Patient Educ. Couns., 59, 1-12.
World Health Organization. (2016). Global report on diabetes. http://www.who.int. (accessed 21 August 2017).
Zimmet, P. (2000). Globalization, coca-colonization and the chronic disease epidemic: can the doomsday scenario be averted? J. Intern. Med., 247, 301-310.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.