Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain
Dòria, Montserrat (Hospital Arnau de Vilanova (València))
Rosado, Verónica (Hospital Arnau de Vilanova (València))
Pacheco, Linda Roxana (Hospital Arnau de Vilanova (València))
Hernández, Marta (Hospital Arnau de Vilanova (València))
Betriu, Àngels (Hospital Arnau de Vilanova (València))
Valls, Joan (Universitat Autònoma de Barcelona. Departament de Matemàtiques)
Franch-Nadal, Josep (Institut Català de la Salut. Gerència d'Àmbit d'Atenció Primària Barcelona Ciutat)
Fernández, Elvira (Hospital Arnau de Vilanova (València))
Mauricio Puente, Dídac (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)

Date:	2016
Abstract:	Aim. To assess the prevalence of diabetic foot and other associated conditions in patients with diabetes mellitus under renal replacement in the region of Lleida, Spain. Methods. This was an observational, cross-sectional study of 92 dialysis-treated diabetic patients. Besides a podiatric examination, we explored the presence of cardiovascular risk factors, late diabetes complications, including peripheral neuropathy, atherosclerotic disease, and peripheral artery disease. We assessed risk factors for foot ulceration and amputation by logistic regression. Results. Prevalent diabetic foot was found in 17. 4% of patients, foot deformities were found in 54. 3%, previous ulcer was found in 19. 6%, and amputations were found in 16. 3%; and 87% of them had some risk of suffering diabetic foot in the future. We observed a high prevalence of patients with peripheral neuropathy and peripheral artery disease (89. 1% and 64. 2%, resp. ). Multivariable analysis identified diabetic retinopathy and advanced atherosclerotic disease (stenosing carotid plaques) as independent risk factors for foot ulceration (p = 0. 004 and p = 0. 023, resp. ) and diabetic retinopathy also as an independent risk factor for lower-limb amputations (p = 0. 013). Moreover, there was a temporal association between the initiation of dialysis and the incidence of amputations. Conclusion. Diabetic patients receiving dialysis therapy are at high risk of foot complications and should receive appropriate and intensive foot care.
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Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	BioMed Research International, Vol. 2016 (April 2016) , art. 7217586, ISSN 2314-6141

DOI: 10.1155/2016/7217586
PMID: 27190996

8 p, 572.3 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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