Pé em risco aumentado de ulceração em doentes com diabetes Mellitus tipo 2

Abstract

Objectives: To determine the prevalence of foot at increased risk of ulceration in diabetic patients in a Primary Health Care population according to the classification system of the IWGDF. Study Design: Cross-sectional analytical observational. Location: Three Primary Care Centres (PCC) in Matosinhos, Portugal. Population: Patients with type 2 diabetes, holders of the Diabetic Guide and residents in Portugal. Methods:A total of 237 participants were obtained through simple random sampling technique with reposition. The data were obtained through interviews, objective examination and analysis of processes. Demographic data was collected as well as Body Mass Index, diabetes duration and glycaemic control. The presence of peripheral neuropathy and vasculopathy was assessed in order to classify patients according to the classification system of the IWGDF. Results: Among the 237 participants, 46% were male, averaging 63 years. The prevalence of foot at increased risk of ulceration was 18.1% and it was found an association with the condition retirement. Conclusions: This study showed that the prevalence of diabetic patients with foot at increased risk of ulceration in Primary Health Care is significant, highlighting the need for early detection of changes in the foot and investment in the education of diabetics on feet care.