Factores de riesgo asociados a amputaciones de miembros inferiores en el adulto mayor con diabetes tipo II hospitalizados en "Hospital Guasmo Sur" de Guayaquil de enero a junio del 2017.

Abstract

Introduction: Risk factors in leg´s amputation in patients over 65 years of age with Type II Diabetes consists in a public health matter worldwide, with the characteristic of having a high number of deaths between patients. In Ecuador, it represents 24 to 27% of amputation cases every year. Materials and Methods: It consists in an analytic investigation, with descriptive reports formed by a number of 106 patients older than 65 years of age with Final Diagnosis of Type Two Diabetes who were submitted to leg amputation due to diabetic foot in Hospital General Guasmo Sur, during the months of January to June of 2017. Results: It was determined an average age of 71 years old between male and female patients who were part of this study, having a higher number of cases in male patients, representing 67% of them, establishing a strong association between male sex and the risk of requiring amputation (p<0,05). A high prevalence was found, of 59% of the cases, in patients whose Diabetes was older than 10 years since its diagnosis (p<0,005). An association between factors like diabetic neuropathy, structural malformations in feet and tobacco consumption was determined with risk of amputation in patients with diabetic foot. Conclusions: In conclusion, it can be established a higher prevalence of amputation in diabetic foot cases in male patients as in Type Two Diabetes of long time. It is concluded that factor like tobacco consumption, previous diabetic neuropathy and alterations in feet structure increases risk of requiring amputation in patients with this final diagnosis.