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Nationwide prevalence and clinical characteristics of inpatient diabetic foot complications: A Peruvian multicenter study

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dc.contributor.author Yovera-Aldana, Marlon
dc.contributor.author Sáenz-Bustamante, Sofia
dc.contributor.author Quispe-Landeo, Yudith
dc.contributor.author Agüero-Zamora, Rosa
dc.contributor.author Salcedo, Julia
dc.contributor.author Sarria, Carolina
dc.contributor.author Gonzales-Grandez, Nancy
dc.contributor.author Briceño-Alvarado, Manolo
dc.contributor.author Antezana-Román, Augusto
dc.contributor.author Manrique, Helard
dc.contributor.author Armstrong, David G.
dc.date.accessioned 2021-06-08T15:46:14Z
dc.date.available 2021-06-08T15:46:14Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9500
dc.description.abstract OBJECTIVE: To evaluate the burden of diabetic foot complications amongst inpatients in Peru. MATERIALS AND METHODS: Cross-sectional multicenter study, performed in public hospitals, in one-day enrollment between October and December 2018. RESULTS: We included 8346 patients from 39 national hospitals. Diabetic foot (DF) inpatient point prevalence was 2.8% (CI 95% 2.4-3.1), and DF point prevalence among Diabetes Mellitus (DM) inpatients was 18.9% (CI 95% 16.7-21.1). DF prevalence was higher in jungle and coastal hospitals than highlands ones, and there was no difference according to its care complexity level. Of the 234 patients with DF, 73% were males, age average was 62 ± 12 years, with DM mean time duration of 15 ± 9.9 years. Regarding to DF etiology, 91% and 68% had some degree of peripheral neuropathy and peripheral artery disease, respectively. According to the Infectious Diseases Society of America criteria, 61% presented moderate to severe infections, and 40% had bone involvement. Debridement within 48 h was performed in 36% of sepsis cases. CONCLUSION: Peru has a substantial burden of DF disease, with a greater share of that burden falling on less equipped hospitals in the country's jungle and coastal regions. Interdisciplinary teams and pathways may improve the time of surgical debridement in the highest risk patients en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Primary Care Diabetes
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Prevalence en_US
dc.subject Diabetic foot en_US
dc.subject Diabetic foot ulcer en_US
dc.subject Epidemiology en_US
dc.subject Inpatients en_US
dc.subject Rural en_US
dc.title Nationwide prevalence and clinical characteristics of inpatient diabetic foot complications: A Peruvian multicenter study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.pcd.2021.02.009
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.188
dc.relation.issn 1878-0210


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