Clinical and Metabolic Profile of Diabetic Patients With Supracondylar Amputation

Abstract

AbstractIntroduction:Micro and macrovascular complications of diabetes are a public health problem that affects the patient's quality of life and may require surgical amputation.Aim: To determine the clinical and metabolic profile of diabetic patients undergoing supracondylar amputationMethod:Observational, cross-sectional and descriptive study. Analyzing the medical records of 200 patients from a tertiary care hospital in EcuadorResults:60% of patients with amputation are over 65 years old, being more common the male gender; with 71% of the total cases with more than 10 years of diagnosis of Diabetes Mellitus, the comorbidity that predominates in them is arterial hypertension in 67.55% of cases. The predominant type of diabetic foot is the ischemic type. 70% with glycosylated hemoglobins over 7%. More than 50% of the cases had previously undergone minor amputations. metabolically speaking, 66% had BMIs >25, with low HDL cholesterol levels and elevated LDL cholesterol levels and elevated triacylglycerol levels.Diabeticpatients with supracondylar amputation have an altered metabolic profile (high cholesterol and triglycerides, poor glycemic control BMI >25). They have a long hospital stay due to the multiplecorbidities they present such as hypertension, stroke, diabetic retinopathy, diabetic nephropathy, ischemic heart disease; In addition to presenting anemia and leukocytosis, they are patients of care and difficult management both clinical and surgical and with high risk of morbidity and mortality.