Frecuencia de Amputaciones y Sobrevida en Pacientes Hospitalizados con el Diagnóstico de Pie Diabético entre 1985-2000 en el Hospital Clínico de la Universidad de Chile
Authors
Juan C. Rodríguez T.
Hospital Clínico Universidad de Chile. Sección de Endocrinología
Andrea Ruiz de Arechavaleta C.
Hospital Clínico Universidad de Chile. Sección de Endocrinología
José M. Saavedra S.
Hospital Clínico Universidad de Chile. Sección de Endocrinología
Álvaro Reyes P.
Hospital Clínico Universidad de Chile. Oficina de Apoyo a la Investigación Clínica
Verónica Araya Q.
Hospital Clínico Universidad de Chile. Sección de Endocrinología
The diabetic foot is the main cause of amputation and mortality in diabetic patients. Aim: To determine the frequency of lower
extremity amputations and clinical features in patients with the diagnosis of diabetic foot assisted at the University of Chile Clinical
Hospital between 1985-2000 to determine risks factors and mortality after the discharge. Patients and Method: Analysis of patient
records and obtainment of the date and cause of death from the National Register of Citizens. Results: Of 278 patients 193 patients
(69.4%) underwent an amputation. The anatomic level was: 46% toe; 20% transmetatharsal; 17% under the knee and 17% over
the knee. Risk factors for amputation were: history of amputation (odds ratio [OR] 1.95, 95% IC 1.1-3.4); low lymphocytes count
([OR] 0.96, 0.93-0.98); high eritro sedimentation rate ([OR] 1.012, 1.0044-1.02) and retinopathy ([OR] 4.4, 2.2-9.1). Longer
hospitalizations were observed in amputee patients (25±22 vs 15±13 days). A similar frequency of amputations was observed
between 1985-1994 and 1995-2000 periods. A 35% of amputee patients and 52% of non amputee patients died in a mean of 3.34 years after the event (range 0-15.5 y 0-11.8 respectively). Among non amputee patients the main cause of death was cardiovascular disease and infectious processes were the main cause in amputee patients. Conclusions: A high frequency of amputations because diabetic foot is still observed in our diabetic patients that is associated to longer hospitalizations. The complicated diabetic foot determines a high mortality before 5 years of the event.
Keywords:
Amputación Quirúrgica, Pie Diabético, Complicaciones de la Diabetes, Análisis de Supervivencia, Chile
Rodríguez T., J. C. ., Ruiz de Arechavaleta C., A. ., Saavedra S., J. M. ., Reyes P., Álvaro ., & Araya Q., V. (2006). Frecuencia de Amputaciones y Sobrevida en Pacientes Hospitalizados con el Diagnóstico de Pie Diabético entre 1985-2000 en el Hospital Clínico de la Universidad de Chile. Revista Hospital Clínico Universidad De Chile, 17(2), pp. 148–57. https://doi.org/10.5354/2735-7996.2006.78404
