Clinical and Metabolic Profile of Diabetic Patients With Supracondylar Amputation

Abstract

Introduction: Micro and macrovascular complications of diabetes are a public health problem that affects the patient's quality of life and may require surgical amputation. Aim: To determine the clinical and metabolic profile of diabetic patients undergoing supracondylar amputation Method: Observational, cross-sectional and descriptive study. Analyzing the medical records of 200 patients from a tertiary care hospital in Ecuador Results: 60% of patients with amputation are over 65 years old, being more common the male gender; with 71% of the total cases with more than 10 years of diagnosis of Diabetes Mellitus, the comorbidity that predominates in them is arterial hypertension in 67.55% of cases. The predominant type of diabetic foot is the ischemic type. 70% with glycosylated hemoglobins over 7%. More than 50% of the cases had previously undergone minor amputations. metabolically speaking, 66% had BMIs >25, with low HDL cholesterol levels and elevated LDL cholesterol levels and elevated triacylglycerol levels. Diabetic patients with supracondylar amputation have an altered metabolic profile (high cholesterol and triglycerides, poor glycemic control BMI >25). They have a long hospital stay due to the multiplecorbidities they present such as hypertension, stroke, diabetic retinopathy, diabetic nephropathy, ischemic heart disease; In addition to presenting anemia and leukocytosis, they are patients of care and difficult management both clinical and surgical and with high risk of morbidity and mortality.