Next Article in Journal
Risk Factors for Delayed Neurocognitive Recovery According to Brain Biomarkers and Cerebral Blood Flow Velocity
Previous Article in Journal
Oral Health-Related Quality of Life in People with Achalasia
Open AccessArticle

Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil

1
Programa de Mestrado em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia (EMESCAM), Vitória/Espírito Santo 29045-402, Brasil
2
Programa de Pós-graduação em Ciências Médicas. Faculdade de Medicina, Universidade de São Paulo. São Paulo 01246-000, Brasil
3
Universidade Federal de Uberlândia. Instituto de Biotecnologia. Uberlândia, Minas Gerais 38400-000, Brasil
4
Programa de Mestrado em Ciências da Saúde da Amazônia, Bolsista CAPES Brasil, Universidade Federal do Acre (UFAC), Rio Branco/Acre 69915-900, Brasil
5
Master in Public Health, Graduate Entry Medical School, University of Limerick, V94 T9PX Limerick, Ireland
*
Authors to whom correspondence should be addressed.
Medicina 2020, 56(6), 287; https://doi.org/10.3390/medicina56060287
Received: 26 May 2020 / Accepted: 2 June 2020 / Published: 11 June 2020
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. View Full-Text
Keywords: diabetes mellitus; amputation; health promotion diabetes mellitus; amputation; health promotion
MDPI and ACS Style

Costa, W.J.T.; Penha-Silva, N.; Bezerra, I.M.P.; Paulo dos Santos, I.; Ramos, J.L.S.; Castro, J.M.; Pereira, J.E.G.; Silva, A.P.; Monteiro, A.; de Abreu, L.C. Analysis of Diabetes Mellitus-Related Amputations in the State of Espírito Santo, Brazil. Medicina 2020, 56, 287.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop