Prevalencia de casos de pie diabético que llegan a la emergencia del HGMS sin haber recibido atención en el primer nivel de salud.

Abstract

Introduction: Diabetic foot is an important complication in people with diabetes mellitus, being the main cause of lower limb amputations. Patients with diabetes and circulatory problems have a 10 to 20 times greater risk of amputation and a 15% to 25% higher risk of developing recurrent ulcers. Methodology: This descriptive, retrospective and quantitative study was carried out with data from the Mount Sinai General Hospital. Results: 86% of patients presented with diabetic foot without having received primary care. The majority were over 65 years old (51%), had a low body mass index (55%), and resided in urban areas (64%). 60% had no diabetes control, and 96% had peripheral neuropathy. Serious complications included septicemia in 100%, osteomyelitis in 93%, and amputations in 88%. Conclusions: It is concluded that 86% of the patients who attended emergently at the Monte Sinaí General Hospital did not have a clinical history of first-level care registered in the Ministry of Public Health. The findings suggest that the population studied is mostly adults, with low educational levels and high poverty rates.