The relevance of implementing a Reference Center on Diabetic Foot in Marabá-PA, Brazil
DOI:
https://doi.org/10.33448/rsd-v10i6.15586Keywords:
Diabetic foot; Prevention center; Diabetes mellitus.Abstract
Objective: Demonstrating the importance of the creation of Marabá Diabetic Foot Reference Center (CRPDM in Portuguese) for the city and region. Methodology: This is a cross-sectional, observational, retrospective study conducted at a general hospital in the city of Marabá-PA, Brazil. The study population is consisted of patients treated by the Vascular Surgery Department at the Hospital Municipal de Marabá, from April 2015 to September 2019. Results: It was identified a high number of healthcare services in the period in the department of vascular surgery. A total of 621 services were provided with the predominance of surgical procedures (51%), including amputations and stump revisions and patients diagnosed with diabetes. Regarding gender there was a male prevalence and considering origin 85% of the patients were from Marabá. Conclusion: In view of that, the CRPDM aims to implement a reference service for diabetic patients, based on the protocols and recommendations of the Ministério da Saúde (Federal Health Ministry), Sociedade Brasileira de Diabetes – SBD (Brazilian Diabetes Society), and International Working Group on the Diabetic Foot (IWGDF). The perspective is to change the reality of the city and region of Marabá, promoting improvements in care to reduce complications and sequelae in this population.
References
Alavi, A., Sibbald, R. G., Mayer, D., Goodman, L., Botros, M., Armstrong, D. G., Woo, K., Boeni, T., Ayello, E. A., & Kirsner, R. S. (2014). Diabetic foot ulcers: Part I. Pathophysiology and prevention. Journal of the American Academy of Dermatology, 70(1), 1.e1-18.
Brasil. (2001). Grupo de Trabalho Internacional sobre Pé Diabético. Consenso internacional sobre pé diabético. 1ª ed. Secretaria de Saúde do Distrito Federal.
Brasil. (2014). Ministério da Saúde. Caderno de Atenção Básica nº 35. Estratégias para o Cuidado da Pessoa com Doença Crônica. Ministério da Saúde. https://www.dab.saúde.gov.br/portaldab/biblioteca.php?conteúdo=publicacoes/cab36.
Brasil. (2016). Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Manual do pé diabético: estratégias para o cuidado da pessoa com doença crônica. Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Ministério da Saúde.
Brasil. (2017). Diabetes aumenta no país e já atinge 9% dos brasileiros. Ministério da Saúde. https://www.saude.gov.br.
Cardoso, N. A., Cisneros, L. D. L., Machado, C. J., Procópio, R. J., & Navarro, T. P. (2018). Fatores de risco para mortalidade em pacientes submetidos a amputações maiores por pé diabético infectado. Jornal Vascular Brasileiro, 17(4), 296-302.
Costa, R. H. R., Cardoso, N. A., Procópio, R. J., Navarro, T. P., Dardik, A., & de Loiola Cisneros, L. (2017). Diabetic foot ulcer carries high amputation and mortality rates, particularly in the presence of advanced age, peripheral artery disease and anemia. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11, S583-S587.
Girach, A., Manner, D., & Porta, M. (2006). Diabetic microvascular complications: can patients at risk be identified? A review. International Journal of Clinical Practice, 60(11), 1471-1483.
Gonçalves, R. R, de Moura, N. O. (2019). Diabetes mellitus e suplementação de proteínas e fibras: uma revisão de literatura. Revista de Iniciação Científica da Universidade Vale do Rio Verde, 8(2), 1.
Guariguata, L., Whiting, D. R., Hambleton, I., Beagley, J., Linnenkamp, U., & Shaw, J. E. (2014). Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Research and Clinical Practice, 103(2), 137-149.
Karami-Mohajeri, S., & Abdollahi, M. (2011). Toxic influence of organophosphate, carbamate, and organochlorine pesticides on cellular metabolism of lipids, proteins, and carbohydrates: a systematic review. Human & experimental toxicology, 30(9), 1119-1140.
Marques, A. D. B., Silva, L. M. S., Moreira, T. M. M., & Torres, R. A. M. (2018). Associação entre internação hospitalar por diabetes mellitus e amputação de pé diabético. Enfermeira Global, 5, 25248-25257.
Martins-Mendes, D., Monteiro-Soares, M., Boyko, E. J., Ribeiro, M., Barata, P., Lima, J., & Soares, R. (2014). The independent contribution of diabetic foot ulcer on lower extremity amputation and mortality risk. Journal of Diabetes and its Complications, 28(5), 632-638.
Neto, M. O., Pereira, M. S., Pinto, M. A. H., Agostinho, L. M., Reinaldo Junior, F. E., & Hissa, M. N. (2017). Avaliação do autocuidado para prevenção do pé diabético e exame clinico dos pés em um centro de referência em diabetes mellitus. Journal of Health and Biological Sciences, 5(3), 265-271.
Oliveira, A. F., De Marchi, A. C. B., Leguisamo, C. P., Baldo, G. V., & Wawginiak, T. A. (2014). Estimativa do custo de tratar o pé diabético, como prevenir e economizar recursos. Ciência & Saúde coletiva, 19(6), 1663-1671.
Oliveira, J. C., Taquary, S. A. S., Barbosa, A. M., & Veronezi, R. J. B. (2016). Pé diabético e amputações em pessoas internadas em hospital público: estudo transversal. ABCS Health Sciencec, 41(1), 34-39.
Santos, M. M. M. (2017). Prática do autocuidado com os pés na prevenção das complicações neurológicas periféricas das pessoas com Diabetes Mellitus [Trabalho de Conclusão de Curso – Monografia]. Centro de Educação e Saúde, Universidade Federal de Campina Grande.
Schaper, N. C., Van Netten, J. J., Apelqvist, J., Lipsky, B. A., & Bakker, K. (2017). Prevention and management of foot problems in diabetes: a summary guidance for daily practice based on the 2015 IWGDF guidance documents. Diabetes Research and Clinical Practice, 124, 84-92.
Silveira, D. M., Ferreira, L. V., Fraga, G. H. W. S., & Costa, M. B. (2017). Pé Diabético: onde podemos intervir? HU Revista, 43(1), 13-18.
Sociedade Brasileira de Diabetes – SBD. (2016). Diretrizes da Sociedade Brasileira de Diabetes (2015-2016). A.C. Farmacêutica, 2016.
Toscano, C. M., Sugita, T. H., Rosa, M. Q. M., Pedrosa, H. C., Rosa, R. S., & Bahia, R. L. (2018). Annual Direct Medical Costs of Diabetic Foot Disease in Brazil: A Cost of Illness Study. International Journal of Environmental Research and Public Health, 15(1), 1-13.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Tatiana Teixeira de Castro Carvalho Beckemkamp; Sandro Percário
This work is licensed under a Creative Commons Attribution 4.0 International 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.