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

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
Programa de Pós-graduação em Ciências Médicas. Faculdade de Medicina, Universidade de São Paulo. São Paulo 01246-000, Brasil
Universidade Federal de Uberlândia. Instituto de Biotecnologia. Uberlândia, Minas Gerais 38400-000, Brasil
Programa de Mestrado em Ciências da Saúde da Amazônia, Bolsista CAPES Brasil, Universidade Federal do Acre (UFAC), Rio Branco/Acre 69915-900, Brasil
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;
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.

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