Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil
<i>Background and objectives:</i><i> </i>Diabetes mellitus (DM) stands out among the most important public health problems worldwide since it represents a high burden on health systems and is associated with higher hospitalization rates, and a higher incidence of cardiovascul...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-06-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1010-660X/56/6/287 |
| _version_ | 1797707201613135872 |
|---|---|
| author | Wendel Jose Teixeira Costa Nilson Penha-Silva Italla Maria Pinheiro Bezerra Ismar Paulo dos Santos José Lucas Souza Ramos Jonathan Mendes de Castro Júlio Eduardo Gomes Pereira Alan Patrício da Silva Adilson Monteiro Luiz Carlos de Abreu |
| author_facet | Wendel Jose Teixeira Costa Nilson Penha-Silva Italla Maria Pinheiro Bezerra Ismar Paulo dos Santos José Lucas Souza Ramos Jonathan Mendes de Castro Júlio Eduardo Gomes Pereira Alan Patrício da Silva Adilson Monteiro Luiz Carlos de Abreu |
| author_sort | Wendel Jose Teixeira Costa |
| collection | DOAJ |
| description | <i>Background and objectives:</i><i> </i>Diabetes mellitus (DM) stands out among the most important public health problems worldwide since it represents a high burden on health systems and is associated with higher hospitalization rates, and a higher incidence of cardiovascular diseases. Amputations are among the most common complications, leading to disability and increasing care costs. This research aims to analyze the prevalence of DM-related amputations, comorbidities and associated risk factors in the diabetic population residing in the State of Espírito Santo, Brazil. <i>Materials and Methods:</i><i> </i>This is a quantitative, exploratory, cross-sectional study with a time series design and the use of secondary data registered and followed by the system of Registration and Monitoring of Hypertension and Diabetes—SisHiperdia. <i>Results:</i><i> </i>The sample consisted of 64,196 diabetic patients, out of them, 3.9% had type 1 DM, 10.9% with type 2 DM, and 85.2% with DM coexisting with hypertension. Most were female (66.6%), aged 40 to 59 years (45.6%), and 60 years and older (45.2%). The prevalence of DM-related amputations in the analyzed sample was 1.2% in type 1 DM, 1.5% in type 2 DM, and 2.2% in concomitant DM and hypertension. Higher amputation rates were observed in males in the age group above 60 years in type 1 DM and type 2 DM and were slightly higher in the age groups up to 29 years in DM with hypertension. A higher prevalence of amputation was related to smoking, physical inactivity, acute myocardial infarction (AMI), stroke, chronic kidney disease (CKD), and diabetic foot (DF) in all types of DM. <i>Conclusions:</i><i> </i>The present study showed a significant prevalence of DM-related amputations. An increased prevalence was evidenced when correlated with smoking, physical inactivity, AMI, stroke, CKD, and DF with significant statistical associations, except for a sedentary lifestyle in type 1 DM. |
| first_indexed | 2024-03-12T06:02:54Z |
| format | Article |
| id | doaj.art-818599f6d652404e8fb11b972e099a6a |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T06:02:54Z |
| publishDate | 2020-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-818599f6d652404e8fb11b972e099a6a2023-09-03T03:55:21ZengMDPI AGMedicina1010-660X2020-06-015628728710.3390/medicina56060287Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, BrazilWendel Jose Teixeira Costa0Nilson Penha-Silva1Italla Maria Pinheiro Bezerra2Ismar Paulo dos Santos3José Lucas Souza Ramos4Jonathan Mendes de Castro5Júlio Eduardo Gomes Pereira6Alan Patrício da Silva7Adilson Monteiro8Luiz Carlos de Abreu9Programa de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória/Espírito Santo 29045-402, BrazilUniversidade Federal de Uberlândia, Instituto de Biotecnologia. Uberlândia, Minas Gerais, BrazilPrograma de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória/Espírito Santo 29045-402, BrazilPrograma de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória/Espírito Santo 29045-402, BrazilPrograma de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória/Espírito Santo 29045-402, BrazilPrograma de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória/Espírito Santo 29045-402, BrazilPrograma de Pós-graduação em Ciências Médicas. Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-000, BrazilPrograma de Pós-graduação em Ciências Médicas. Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-000, BrazilPrograma de Pós-graduação em Ciências Médicas. Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-000, BrazilPrograma de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória/Espírito Santo 29045-402, Brazil<i>Background and objectives:</i><i> </i>Diabetes mellitus (DM) stands out among the most important public health problems worldwide since it represents a high burden on health systems and is associated with higher hospitalization rates, and a higher incidence of cardiovascular diseases. Amputations are among the most common complications, leading to disability and increasing care costs. This research aims to analyze the prevalence of DM-related amputations, comorbidities and associated risk factors in the diabetic population residing in the State of Espírito Santo, Brazil. <i>Materials and Methods:</i><i> </i>This is a quantitative, exploratory, cross-sectional study with a time series design and the use of secondary data registered and followed by the system of Registration and Monitoring of Hypertension and Diabetes—SisHiperdia. <i>Results:</i><i> </i>The sample consisted of 64,196 diabetic patients, out of them, 3.9% had type 1 DM, 10.9% with type 2 DM, and 85.2% with DM coexisting with hypertension. Most were female (66.6%), aged 40 to 59 years (45.6%), and 60 years and older (45.2%). The prevalence of DM-related amputations in the analyzed sample was 1.2% in type 1 DM, 1.5% in type 2 DM, and 2.2% in concomitant DM and hypertension. Higher amputation rates were observed in males in the age group above 60 years in type 1 DM and type 2 DM and were slightly higher in the age groups up to 29 years in DM with hypertension. A higher prevalence of amputation was related to smoking, physical inactivity, acute myocardial infarction (AMI), stroke, chronic kidney disease (CKD), and diabetic foot (DF) in all types of DM. <i>Conclusions:</i><i> </i>The present study showed a significant prevalence of DM-related amputations. An increased prevalence was evidenced when correlated with smoking, physical inactivity, AMI, stroke, CKD, and DF with significant statistical associations, except for a sedentary lifestyle in type 1 DM.https://www.mdpi.com/1010-660X/56/6/287diabetes mellitusamputationhealth promotion |
| spellingShingle | Wendel Jose Teixeira Costa Nilson Penha-Silva Italla Maria Pinheiro Bezerra Ismar Paulo dos Santos José Lucas Souza Ramos Jonathan Mendes de Castro Júlio Eduardo Gomes Pereira Alan Patrício da Silva Adilson Monteiro Luiz Carlos de Abreu Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil Medicina diabetes mellitus amputation health promotion |
| title | Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil |
| title_full | Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil |
| title_fullStr | Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil |
| title_full_unstemmed | Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil |
| title_short | Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil |
| title_sort | analysis of diabetes mellitus related amputations in the state of espirito santo brazil |
| topic | diabetes mellitus amputation health promotion |
| url | https://www.mdpi.com/1010-660X/56/6/287 |
| work_keys_str_mv | AT wendeljoseteixeiracosta analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT nilsonpenhasilva analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT itallamariapinheirobezerra analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT ismarpaulodossantos analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT joselucassouzaramos analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT jonathanmendesdecastro analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT julioeduardogomespereira analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT alanpatriciodasilva analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT adilsonmonteiro analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil AT luizcarlosdeabreu analysisofdiabetesmellitusrelatedamputationsinthestateofespiritosantobrazil |