Lower extremity amputations in diabetic patients: a case-control study

Authors

  • Mônica Antar Gamba Universidade Federal de São Paulo; Departamento de Enfermagem
  • Sabina Léa Davidson Gotlieb Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Epidemiologia
  • Denise Pimentel Bergamaschi Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Epidemiologia
  • Lucila A C Vianna Universidade Federal de São Paulo; Departamento de Enfermagem

DOI:

https://doi.org/10.1590/S0034-89102004000300010

Keywords:

Diabetes mellitus, non-insulin-dependent^i2^sepidemiol, Amputation, Lower extremity, Case-control studies, Risk factors, Socioeconomic factors

Abstract

OBJECTIVE: Lower extremity amputation is an increasing problem among diabetic patients and an important public health problem. The study purpose was to identify factors associated with lower extremity amputation. METHODS: A matched case-control study was carried out among diabetic patients. Cases were selected in public health programs of the city of São Paulo, Brazil. One hundred and seventeen cases of diabetics with lower extremity amputation were compared to 234 controls of diabetics without amputation, matched by sex, age, and duration of disease. Sociodemographic variables, life habits (smoking and alcohol drinking), clinical aspects, and health education in diabetes were included. Univariate analyses and conditional logistic regression method were applied to data. RESULTS: Data showed evidence of association for: smoking, last glucose test ;>;;200 mg/dl, presence of peripheral somatic neuropathy and vibratory perception (tuning fork 128 Hz), and peripheral vascular disease. Diabetes treatment and attending nursing appointments for diabetes education were important factors for preventing lower extremity amputation in diabetic patients. CONCLUSIONS: The knowledge of determinants and intervening factors for this condition will lead to cost reduction and better quality of care delivered in public health services.

Published

2004-06-01

How to Cite

Gamba, M. A., Gotlieb, S. L. D., Bergamaschi, D. P., & Vianna, L. A. C. (2004). Lower extremity amputations in diabetic patients: a case-control study . Revista De Saúde Pública, 38(3), 399-404. https://doi.org/10.1590/S0034-89102004000300010

Issue

Section

Original Articles