Título:	Risk factors and diagnosis of diabetic foot ulceration in users of the Brazilian public health system
Autor(es):	Cardoso, Hígor Chagas Zara, Ana Laura de Sene Amâncio Rosa, Suélia de Siqueira Rodrigues Fleury Rocha, Gabriel Alves Rocha, João Victor Costa Araújo, Maria Clara Emos de Quinzani, Pedro de Freitas Barbosa, Yaman Paula Mrué, Fátima
ORCID:	https://orcid.org/0000-0002-2091-5334 https://orcid.org/0000-0001-7012-9078 https://orcid.org/0000-0001-8756-1887 https://orcid.org/0000-0001-8657-7043 https://orcid.org/0000-0003-4927-550X https://orcid.org/0000-0001-7864-9510 https://orcid.org/0000-0001-8824-3928
Assunto:	Diabéticos Pés - ferimentos e lesões Fatores de risco Úlceras Sistema Único de Saúde (Brasil)
Data de publicação:	9-Set-2019
Editora:	Hindawi
Referência:	CARDOSO, Hígor Chagas et al. Risk factors and diagnosis of diabetic foot ulceration in users of the Brazilian public health system. Journal of Diabetes Research, v. 2019, Article ID 5319892, p. 1-7, 2019. DOI: https://doi.org/10.1155/2019/5319892. Disponível em: https://www.hindawi.com/journals/jdr/2019/5319892/. Acesso em: 19 maio 2020.
Abstract:	Background. An individual with diabetes mellitus (DM) has an approximately 25% risk of developing ulcerations and/or destruction of the feet’s soft tissues. These wounds represent approximately 20% of all causes of hospitalizations due to DM. Objective. To identify the factors for the development of diabetic foot ulceration (DFU) among individuals treated by the Brazilian public health system. Methods. This cross-sectional study was conducted on individuals with diabetes mellitus, aged above 18 years, of both sexes, and during July-October 2018 within a public healthcare unit in Brazil. All participants were assessed based on their socioeconomic, behavioral, and clinical characteristics, along with vascular and neurological evaluations. All participants were also classified according to the classification of risk of developing DFU, in accordance with the International Working Group on the Diabetic Foot (IWGDF). Statistical analyses were conducted using the chi-squared test, chi-squared test for trend, and Fisher’s exact test, with a significance level of 5% (p < 0 05). Results. The study consisted of 85 individuals. The DFU condition was prevalent in 10.6% of the participants. Adopting the classification proposed by IWGDF, observed risks for stratification categories 0, 1, 2, and 3 were 28.2%, 29.4%, 23.5%, and 8.2%, respectively. A statistically significant (p < 0 05) association was observed between the development of DFU and the following variables: time since the diagnosis of diabetes and the appearance of the nails, humidity, and deformations on the feet. Conclusion. The present study found an elevated predominance of DM patients in the Brazilian public health system (SUS) featuring cutaneous alterations that may lead to ulcers; these individuals had elevated risks of developing DFU. Furthermore, it was revealed that the feet of patients were not physically examined during treatment.
Unidade Acadêmica:	Faculdade de Ciências e Tecnologias em Engenharia (FCTE) – Campus UnB Gama
Licença:	Copyright © 2019 Hígor Chagas Cardoso et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI:	https://doi.org/10.1155/2019/5319892
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