Assessment of ulceration risk in diabetic individuals

ABSTRACT Objective: 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. Method: a cross-sectional a...

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Main Authors: Luz Marina Alfonso Dutra, Maria Rita Carvalho Garbi Novaes, Manuela Costa Melo, Danyelle Lorrane Carneiro Veloso, Dayane Leticia Faustino, Leila Maria Sales Sousa
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000800733&lng=en&tlng=en
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author Luz Marina Alfonso Dutra
Maria Rita Carvalho Garbi Novaes
Manuela Costa Melo
Danyelle Lorrane Carneiro Veloso
Dayane Leticia Faustino
Leila Maria Sales Sousa
author_facet Luz Marina Alfonso Dutra
Maria Rita Carvalho Garbi Novaes
Manuela Costa Melo
Danyelle Lorrane Carneiro Veloso
Dayane Leticia Faustino
Leila Maria Sales Sousa
author_sort Luz Marina Alfonso Dutra
collection DOAJ
description ABSTRACT Objective: 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. Method: 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. Results: 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. Conclusion: signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.
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spelling doaj.art-018e666445cf44fda9453d73c44116932022-12-21T18:52:49ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-044671suppl 273373910.1590/0034-7167-2017-0337S0034-71672018000800733Assessment of ulceration risk in diabetic individualsLuz Marina Alfonso DutraMaria Rita Carvalho Garbi NovaesManuela Costa MeloDanyelle Lorrane Carneiro VelosoDayane Leticia FaustinoLeila Maria Sales SousaABSTRACT Objective: 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. Method: 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. Results: 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. Conclusion: signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000800733&lng=en&tlng=enDiabetes MellitusNeuropatias DiabéticasDoença Arterial PeriféricaCuidados de EnfermagemAtenção Secundária à Saúde
spellingShingle Luz Marina Alfonso Dutra
Maria Rita Carvalho Garbi Novaes
Manuela Costa Melo
Danyelle Lorrane Carneiro Veloso
Dayane Leticia Faustino
Leila Maria Sales Sousa
Assessment of ulceration risk in diabetic individuals
Revista Brasileira de Enfermagem
Diabetes Mellitus
Neuropatias Diabéticas
Doença Arterial Periférica
Cuidados de Enfermagem
Atenção Secundária à Saúde
title Assessment of ulceration risk in diabetic individuals
title_full Assessment of ulceration risk in diabetic individuals
title_fullStr Assessment of ulceration risk in diabetic individuals
title_full_unstemmed Assessment of ulceration risk in diabetic individuals
title_short Assessment of ulceration risk in diabetic individuals
title_sort assessment of ulceration risk in diabetic individuals
topic Diabetes Mellitus
Neuropatias Diabéticas
Doença Arterial Periférica
Cuidados de Enfermagem
Atenção Secundária à Saúde
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000800733&lng=en&tlng=en
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