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Analysis of diabetes mellitus-related amputations in the state of espírito santo, Brazil

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Show simple item record Costa, Wendel Jose Teixeira Penha-Silva, Nilson Pinheiro Bezerra, Italla Maria dos Santos, Ismar Paulo Souza Ramos, José Lucas de Castro, Jonathan Mendes Gomes Pereira, Júlio Eduardo da Silva, Alan Patrício Monteiro, Adilson de Abreu, Luiz Carlos 2020-06-18T08:22:13Z 2020-06-18T08:22:13Z 2020
dc.description peer-reviewed en_US
dc.description.abstract Background and objectives: 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. Materials and Methods: 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. Results: 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. Conclusions: 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. en_US
dc.language.iso eng en_US
dc.publisher MDPI en_US
dc.relation 007/2015 en_US
dc.relation.ispartofseries Medicina;56, 287
dc.subject diabetes mellitus en_US
dc.subject amputation en_US
dc.subject health promotion en_US
dc.title Analysis of diabetes mellitus-related amputations in the state of espírito santo, Brazil en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.3390/medicina56060287
dc.contributor.sponsor Espirito Santo Research and Innovation Support Foundation en_US
dc.relation.projectid 007/2015 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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