Stratification of the diabetic foot in the General Hospital South Guasmo 2018 -2019 period

Abstract

Background: The diabetic foot is the clinical entity that is represented as the main complication of diabetes, 20% of diabetics will need an annual hospitalization and of this 25% is due to the diabetic foot. The main objective of the study was to present and establish the demographic characteristics by means of classification scales of the diabetic foot in the patients who go to the Emergency Department of the General Hospital South Guasmo. Methods: A retrospective, descriptive, observational study was performed in patients with diabetic foot during the year 2018 and 2019. Age, gender, evolution time to present with diabetic foot, clinical characteristics according to the Wagner and Texas scale were analyzed. Microsoft Excel was used and the information was processed to obtain percentages of qualitative and quantitative variables, Pearson's correlation index was used for each classification. Results: 70 patients with diabetic foot were evaluated, 60% male, predominant age group of 51 to 60 years with 36%. Type of diabetes mellitus 2 with 86%, the evolution time for clinical presentation of the diabetic foot most frequently from 16 to 20 years with 36%. The Texas and Wagner scale were used for clinical characteristics, mortality rates were in favor with a higher percentage for the Wagner scale with 17% vs. 5% for Texas. Conclusions: Staging of the diabetic foot according to the scales used, and the clinical characteristics found is of medical importance, health promotion, prevention of diabetes mellitus and good management of complications is decisive from the first level of care in Health.