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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
MARTINEZ-ESCALANTE, José E. et al. Diabetic foot in Mexico: risk factors for mortality after a major amputation, at 5 years, in a second-level public health hospital. Cir. cir. [online]. 2021, vol.89, n.3, pp.284-290. Epub Nov 03, 2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000209.
Objective:
To investigate retrospectively at 5 years the mortality rate in postoperative patients of major amputation secondary to diabetic foot and to identify the associated risk factors that increase mortality in the Mexican population.
Method:
Retrospective study that included patients who underwent major amputation secondary to diabetic foot from January 1 to December 31, 2009 in a second-level hospital.
Results:
37 patients who met the inclusion criteria were included in the study protocol, finding that 10 patients (27.03%) were still alive and 27 patients (72.97%) had died. Observing In patients who undergo an amputation and have three or more comorbidities, they have a 1.6 times higher risk of dying (p = 0.018) and that the higher the glycemia prior to the amputation, the greater the probability of dying at 5 years (p = 0.015).
Conclusions:
Studies are needed in Mexico with prospective follow-up, multicenter in nature, with a heterogeneous sample, which allows us to have a National panorama.
Keywords : Infracondylar amputation; Supracondylar amputation; Mortality in major amputation; Diabetic foot.
