Assessment of ulceration risk in diabetic individuals

To identify the risk factors for foot ulceration through the tracing of diabetic peripheral neuropathy and peripheral arterial disease in individuals with type I and II diabetes, who were assisted in reference centers of the Federal District, Brazil. a cross-sectional and analytical study, with the...

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Bibliographic Details
Published in:	Revista Brasileira de Enfermagem Vol. 71 Suppl 2; no. suppl 2; pp. 733 - 739
Main Authors:	Dutra, Luz Marina Alfonso, Novaes, Maria Rita Carvalho Garbi, Melo, Manuela Costa, Veloso, Danyelle Lorrane Carneiro, Faustino, Dayane Leticia, Sousa, Leila Maria Sales
Format:	Journal Article
Language:	English Portuguese
Published:	Brazil Associação Brasileira de Enfermagem 2018
Subjects:	Atenção Secundária à Saúde Cuidados de Enfermagem Diabetes Diabetes Mellitus Disease prevention Doença Arterial Periférica Foot diseases Health promotion Multivariate analysis Neuropatias Diabéticas Nursing Peripheral neuropathy Systematic review Ulcers Brazil
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Summary:	To identify the risk factors for foot ulceration through the tracing of diabetic peripheral neuropathy and peripheral arterial disease in individuals with type I and II diabetes, who were assisted in reference centers of the Federal District, Brazil. a cross-sectional and analytical study, with the assessment of 117 individuals in outpatient clinics of the Federal District. Continuous variables were compared through Mann-Whitney test, and categorized variables, through Chi-square test for univariate analysis and Logistics regression test for multivariate analysis. painful diabetic peripheral neuropathy was present in 37 (75.5%) of the individuals with neuropathy. Deformities and loss of protective plant sensibility were related to neuropathy (p=0.014 and p=0.001, respectively). Of the 40 (34.2%) individuals in the sample who presented peripheral arterial disease, 26 (65%) presented calcification risk. signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0034-7167 1984-0446 1984-0446
DOI:	10.1590/0034-7167-2017-0337