Incidence and characteristics of diabetic foot ulcers in subjects with type 2 diabetes in Catalonian primary care centres: An observational multicentre study
Por:
Bundo, M, Llussa, J, Serra, M, de la Iglesia, PP, Gimbert, RM, Real, J, Vlacho, B, Mata-Cases, M, Cos, X, Franch-Nadal, J, Mauricio, D
Publicada:
1 dic 2021
Ahead of Print:
1 nov 2021
Resumen:
Aims: The main objective was to assess the incidence of diabetic foot ulcers in type 2 diabetes individuals from primary care centres in Catalonia, Spain.
Methods: Prospective observational study in 36 Primary Care centres in Catalonia during February 2018 and July 2019 was conducted. We included participants with type 2 diabetes and a new foot ulcer. We estimated the annual foot ulcer incidence and described the characteristics: presence of comorbidities, clinical parameters and the characteristics of the diabetic foot ulcers (DFU) at inclusion in the study.
Results: The incidence of a new DFU during the 12-month recruitment period was 0.42%. The mean age of the participants was 72.2 years (+/- 12.7), the majority of them were males (n = 178; 69.5%). Overall, 43.8% of DFUs were located on the dorsal aspect of toes or interdigital spaces. A percentage of 43.4% of the participants had ulcers of less than 1 cm2 surface. Further, 44.1% of the participants had a neuroischemic, 20.3% a neuropathic, 20.3% an ischemic ulcer. A 25.3% of ulcers with a concomitant peripheral artery disease were infected.
Conclusions: Although the incidence found was low, our study shows the great complexity of patients with foot ulcers treated in primary care. (C) 2021 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
Filiaciones:
Bundo, M:
Inst Univ Invest Atencio Primaria Jordi Gol IDIAP, Unitat Suport Recerca Barcelona Ciutat, DAP Cat Grp, Barcelona, Spain
Inst Catala Salut, Gerencia Ambit Atencio Primaria Metropolitana N, Primary Hlth Care Ctr Ronda Prim, Mataro, Spain
Llussa, J:
Inst Catala Salut, Gerencia Ambit Atencio Primaria Metropolitana Nor, Primary Hlth Care Ctr Sant Roc, Mataro, Spain
Catalan Hlth Inst, Badalona, Spain
Serra, M:
Inst Catala Salut, Gerencia Ambit Atencio Primaria Metropolitana Nor, Primary Hlth Care Ctr Ca NOriac, Sabadell, Spain
de la Iglesia, PP:
Inst Catala Salut, Gerencia Ambit Atencio Primaria Barcelona Ciuta, Primary Hlth Care Ctr Raval Sud, Barcelona, Spain
Gimbert, RM:
Inst Catala Salut, Gerencia Ambit Atencio Primaria Barcelona Ciuta, Primary Hlth Care Ctr El Carmel, Sant Adria Besos, Spain
Real, J:
Inst Univ Invest Atencio Primaria Jordi Gol IDIAP, Unitat Suport Recerca Barcelona Ciutat, DAP Cat Grp, Barcelona, Spain
Univ Internac Catalunya Epidemiol & Salut Publ, Sant Cugat, Spain
Vlacho, B:
Inst Univ Invest Atencio Primaria Jordi Gol IDIAP, Unitat Suport Recerca Barcelona Ciutat, DAP Cat Grp, Barcelona, Spain
Univ Autonoma Barcelona, Dept Pharmacol, Cerdanyola Del Valles, Spain
Fdn Inst Invest Ciencies Salut Germans Trias & Pu, Badalona, Spain
Mata-Cases, M:
Inst Univ Invest Atencio Primaria Jordi Gol IDIAP, Unitat Suport Recerca Barcelona Ciutat, DAP Cat Grp, Barcelona, Spain
Inst Catala Salut, Gerencia Ambit Atencio Primaria Barcelona Ciuta, Primary Hlth Care Ctr La Mina, Sant Adria Besos, Spain
Cos, X:
Inst Univ Invest Atencio Primaria Jordi Gol IDIAP, Unitat Suport Recerca Barcelona Ciutat, DAP Cat Grp, Barcelona, Spain
Innovat Off Inst Catala Salut, Barcelona, Spain
Franch-Nadal, J:
Inst Univ Invest Atencio Primaria Jordi Gol IDIAP, Unitat Suport Recerca Barcelona Ciutat, DAP Cat Grp, Barcelona, Spain
Inst Catala Salut, Gerencia Ambit Atencio Primaria Barcelona Ciuta, Primary Hlth Care Ctr Raval Sud, Barcelona, Spain
Mauricio, D:
Inst Univ Invest Atencio Primaria Jordi Gol IDIAP, Unitat Suport Recerca Barcelona Ciutat, DAP Cat Grp, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Dept Endocrinol & Nutr, Barcelona, Spain
Univ Vic, Cent Univ Catalonia, Dept Med, Catalonia, Vic, Spain
Inst Salud Carlos III, CIBER Diabet & Associated Metab Dis CIBERDEM, Madrid, Spain
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