Abstract
Objectives To identify compliance with a protocol for the detection of diabetic foot in nursing consultations, as well as the risk of diabetic foot in the population studied, and to evaluate the association between diabetic foot and cardiovascular risk factors. Method We performed a multicenter, descriptive, cross-sectional, crossover study in three semiurban basic health areas in the region of Baix Empordà in Girona, Spain, with a population of 50056 inhabitants and a known prevalence of diabetes mellitus of 4.9% (2453 individuals). Men and women aged more than 14 years old with a diagnosis of diabetes mellitus of more than 6 months duration attended in the nursing consultations program in 2001 were studied. Statistical analysis consisted of univariate analysis and the chi-squared test. Results The protocol was applied in 30.2% of the population attended (625 out of 2069). Risk 1 of ulceration was found in 51.4%, risk 2 in 30.4%, risk 3 in 13.8% and risk 4 in 4.5%. Intermittent claudication (p < 0.001), hypertension (p < 0.003) and the presence of microangiopathy (p < 0.001) were directly associated with higher risk. Conclusions Every effort should be made to prevent and detect diabetic foot in patients with hypertension, claudication or microangiopathy. The application of the protocol should be increased.
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