Assessment of ulceration risk in diabetic individuals

Dutra, Luz Marina Alfonso; Novaes, María Rita Carvalho Garbi; Melo, Manuela Costa; Veloso, Danyelle Lorrane Carneiro; Faustino, Dayane Leticia; Sousa, Leila Maria Sales

doi:10.1590/0034-7167-2017-0337

Cited by 20 publications

(18 citation statements)

References 11 publications

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“…Hypertension and type 2 DM16,20 were also independent risk factors for development of diabetic foot ulcer, but results were statistically insignificant. Hypertension was usually associated with type 2 diabetes, which resulted in higher risk of cardiovascular diseases and mortality.…”

Section: Discussionmentioning

confidence: 86%

Can we link foot ulcer with risk factors in diabetics? A study in a tertiary care hospital

Khan¹,

Azhar²,

Zubair³

et al. 2018

Pak J Med Sci

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Objective:Although many studies worldwide explained the risk factors for developing Diabetic Foot Ulceration (DFU), little has been done to assess medical factors in DFU formation and link them in patients of Pakistan. This study aimed to link the DFU with different risk factors.Methods:This descriptive cross-sectional retrospective study was conducted in Diabetes Endocrine and Metabolic Centre / Post Graduate Medical Institute / Lahore General Hospital. Data of all patients presenting between July 2017 to June 2018 were analyzed for risk factors. Analysis was done on SPSS version 21.Results:Total of 3301 patient were seen during this period, out of which 2052 patient data was picked up as it was complete in respect to the information needed. Middle age, Male gender, Type 2 diabetes, and Hypertension, were insignificantly co-related. High waist circumference, Comorbidity like Neuropathy, Dyslipidemia, Greater body mass index, Poor compliance with Medication and type of medication used (combination of oral and injectable) were found statistically significant predictor for DFU. However retinopathy was not found to be a risk factor of DFU. This result was statistically significant.Conclusion:Factors like obesity, waist circumference, combination of oral along with injectable therapies, neuropathy, dyslipidemia, retinopathy and poor compliance with medication were statistically significant and can be strongly linked with diabetic foot ulcer. Middle age, Male gender, Type 2 diabetes, and Hypertension were insignificantly co-related. However, further studies are needed in larger population to support these findings.

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Section: Discussionmentioning

confidence: 86%

Can we link foot ulcer with risk factors in diabetics? A study in a tertiary care hospital

Khan¹,

Azhar²,

Zubair³

et al. 2018

Pak J Med Sci

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“…Nesses pacientes, encontramos o desenvolvimento da neuropatia diabética, aumentando o risco de surgimento de ulceração dos membros inferiores, conforme estudos realizados, destacando-se que 67,6% dos usuários possuíam DM tipo 2 há 10 anos ou mais 12 . Além disso, autores constataram que o tempo de DM e a idade do indivíduo estão associados às complicações neuropáticas, sendo também um fator de maior incidência de amputação 13 .…”

Section: Discussionunclassified

“…A neuropatia diabética foi recentemente investigada em um estudo com 522 indivíduos e, desses, 110 apresentavam a DM mais longa, maior prevalência de obesidade abdominal e de hipertensão arterial, em comparação com os seus homólogos sem neuropatia 13 , corroborando com os dados encontrados no presente estudo. Com o passar dos anos, o controle da doença pode tornar-se mais cansativo, ao mesmo tempo em que o metabolismo diminui.…”

Section: Discussionunclassified

Percepção sensorial tátil alterada em pacientes com diabetes mellitus: uma revisão integrativa

Noronha

Nogueira

Cardoso

et al. 2019

R. Enferm. Cent. O. Min.

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RESUMOObjetivos: Descrever os fatores etiológicos e os sinais e sintomas do fenômeno percepção sensorial tátil alterada em pessoas com Diabetes Mellitus. Métodos: Trata-se de uma revisão integrativa da literatura realizada no período de agosto a setembro de 2016. A busca foi feita nas bases de dados da PUBMED, CINAHL, SCOPUS, LILACS, IBECS, MEDCARIB e BDENF, utilizando os seguintes descritores: neuropatias diabéticas, tato, percepção tátil, transtornos da percepção, distúrbios somatossensoriais e enfermagem. Foram identificadas 1371 publicações e uma amostra de 23 estudos foi obtida. Estes foram classificados de acordo com o nível de evidência. Resultados: As publicações datam desde 1992 a 2015, com maior produção nos Estados Unidos. Os estudos foram do tipo transversal, prevalecendo nível de evidência IV. A dor foi o sintoma mais prevalente, seguida de perda sensorial, dormência e formigamento. Com relação aos fatores etiológicos destacou-se o tempo de convivência com o problema, hemoglobina glicosilada alterada, idade avançada e hipertensão arterial. Conclusão: Constatou-se que o fenômeno tem sido compreendido como uma alteração neurológica. A identificação precoce dos agentes etiológicos e as manifestações clínicas são importantes para o seguimento dos pacientes, bem como a monitorização da sua evolução e controle glicêmico. ABSTRACTObjectives: To describe the etiologic factors, and signs and symptoms of altered tactical sensory perception phenomenon in people with Diabetes Mellitus. Methods: This is an integrative review of the literature performed from August to September 2016. The search was conducted in PUBMED, CINAHL, SCOPUS, LILACS, IBECS, MEDCARIB and BDENF databases, using the following descriptors: diabetic neuropathies, touch, tactile perception, perception disorders, somatosensory disorders and nursing. There were 1371 publications, obtaining a sample of 23 studies, classified according to the level of evidence. Results: The publications date from 1992 to 2015, with greater production in the United States. The studies were of the cross-sectional type, prevailing level of evidence IV. Pain was the most prevalent symptom, followed by sensory loss, numbness and tingling. Regarding the etiological factors, living time with the problem, altered glycosylated hemoglobin, advanced age and arterial hypertension stood out. Conclusion: The phenomenon has been understood as a neurological alteration. Early identification of etiologic agents and clinical manifestations are important for patients' follow-up as well as their evolution monitoring and glycemic control. RESUMENObjetivos: Describir los factores etiológicos y los sígnales y síntomas del fenómeno de percepción sensorial táctica alterada en personas con Diabetes Mellitus. Métodos: La busca fue realizada en las bases de datos de PUBMED, CINAHL, SCOPUS, LILACS, IBECS, MEDCARIB y BDENF utilizando los siguientes descriptores: neuropatías diabéticas, tacto, percepción táctil, trastornos de la percepción, trastornos somatosensoriales y enfermería. Se identific...

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“…Data collection was carried out by the leading researcher and two undergraduate students previously trained and capable of applying an instrument composed of sociodemographic and clinical questions (16) , in order to conduct individual interviews, data searches in the medical records, clinical tests, and data recording. Adjustments were made to the instrument after the application of a pilot study with 30 individuals with DM treated at the study location in 2017.…”

Section: Study Protocolmentioning

confidence: 99%

“…For the evaluation of painful sensitivity, we used the instrument with a blunt, sharp tip test, which started with touching the sharp tip on the back of the hallux, carefully to do not pierce the skin (9) . The tests of plantar protective sensitivity, vibratory sensitivity, and painful sensitivity were considered normal when the patient guessed correctly two of the three applications (9,16) .…”

Section: Altered Touch Perception and Associated Risk Factors In Indimentioning

confidence: 99%

Altered touch perception and associated risk factors in individuals with diabetes mellitus

et al. 2020

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Objective: To evaluate the prevalence of altered touch perception in the feet of individuals with diabetes mellitus and the associated risk factors. Method: Cross-sectional study with 224 individuals with diabetes mellitus conducted in an endocrinology clinic at a public hospital in Campina Grande, Paraíba. The evaluation used touch sensitivity and perception, and a descriptive and multivariate analysis with Poisson regression was performed. Results: We found the prevalence of altered touch perception to be 53.1%. The risk factors that had a significant and joint impact on its occurrence were: female gender; previous ulcer; diabetes mellitus type 2; burning sensation, cracks, fissures, calluses, and Charcot foot. Conclusions: This study found a high prevalence of altered perception of touch, and this should support the planning of actions aimed at preventing the problem. The study showed the relevance of the phenomenon as a nursing diagnosis that could be included in NANDA-International.

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Assessment of ulceration risk in diabetic individuals

Abstract: signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.

Cited by 20 publications

References 11 publications

Can we link foot ulcer with risk factors in diabetics? A study in a tertiary care hospital

Can we link foot ulcer with risk factors in diabetics? A study in a tertiary care hospital

Percepção sensorial tátil alterada em pacientes com diabetes mellitus: uma revisão integrativa

Altered touch perception and associated risk factors in individuals with diabetes mellitus

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