TY - JOUR
T1 - Nationwide prevalence and clinical characteristics of inpatient diabetic foot complications
T2 - A Peruvian multicenter study
AU - Yovera-Aldana, Marlon
AU - Sáenz-Bustamante, Sofia
AU - Quispe-Landeo, Yudith
AU - Agüero-Zamora, Rosa
AU - Salcedo, Julia
AU - Sarria, Carolina
AU - Gonzales-Grandez, Nancy
AU - Briceño-Alvarado, Manolo
AU - Antezana-Román, Augusto
AU - Manrique, Helard
AU - Armstrong, David G.
N1 - Funding Information:
We thank the following people for collecting the data in the health centers: Ana Vidaurre (Hospital III Chimbote, Ancash); Katerin Lazarte (Hospital III Yanahuara, Arequipa); Jorge Oporto (Hospital Nac. Carlos Seguín, Arequipa); Lorena Roncal (Hospital Regional de Cajamarca, Cajamarca); Christiam Vela Solano (Centro Médico Naval “Cirjano Mayor Santiago Távara”,Callao); Aurea Urquizo (Hospital Alberto Barton Thompson, Callao); Lissete Parqui (Hospital Alberto Sabogal Sologuren, Callao); Víctor Baca (Hospital Nacional Daniel Alcides Carrión, Callao); Marco Gamarra (Hospital Regional del Cusco, Cusco); Richard Briceño (Hospital Zacarías Correa, Huancavelica); Javier Tasayco (Hospital II Huancavelica, Huancavelica); Yina Loarte (Hospital II Huánuco, Huánuco); Manuel Huamán (Hospital Regional de Ica, Ica); Alex Chahua (Hospital Nacional IV Ramiro Prialé, Junín); Jose Gavidia (Hospital I Albrecht, La Libertad); Luis Zavaleta (Hospital Regional Docente de Trujillo, La Libertad); Ivonne Sipirán (Hospital IV Víctor Lazarte, La Libertad); María Delgado (Hospital Nacional IV Almanzor Aguinaga Asenjo, Lambayeque); Rosalinda Mamani (Hospital Guillermo Kaelin, Lima); Jacsel Suárez (Hospital Rebagliati, Lima); Juan Lizarzaburu (Hospital Central FAP, Lima); Delia Cruz and Diana Flores (Hospital María Auxiliadora, Lima); Sandra Jiménez (Hospital Santa Rosa, Lima); Luis Neyra (Hospital Nacional Arzobispo Loayza, Lima); Jorge Jara (Hospital Nacional Cayetano Heredia, Lima); Dante Gamarra and Claudia Ibárcena (Hospital Nacional 2 de Mayo, Lima); Robert Lozano (Hospital III Cayetano, Piura); Luis Gonzáles (Hospital Apoyo Sullana, Piura); Edwin Aldana (Hospital Santa Rosa, Piura); Haydee Barrios (Hospital Regional Puno, Puno); Natali Jáuregui (Hospital II Tarapoto, San Martín); Wilber Osnayo (Hospital III Daniel Alcides Carrión Tacna, Tacna); Justo López (Hospital II Pucallpa, Ucayali); Rister Brunner (Hospital Regional de Pucallpa; Ucayali).
Publisher Copyright:
© 2021 Primary Care Diabetes Europe
PY - 2021/6
Y1 - 2021/6
N2 - 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.
AB - 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.
KW - Diabetic foot
KW - Diabetic foot ulcer
KW - Epidemiology
KW - Inpatients
KW - Peru
KW - Prevalence
KW - Rural
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UR - http://www.scopus.com/inward/citedby.url?scp=85101867162&partnerID=8YFLogxK
U2 - 10.1016/j.pcd.2021.02.009
DO - 10.1016/j.pcd.2021.02.009
M3 - Article
C2 - 33664012
AN - SCOPUS:85101867162
SN - 1751-9918
VL - 15
SP - 480
EP - 487
JO - Primary Care Diabetes
JF - Primary Care Diabetes
IS - 3
ER -