Tasas de amputación de miembros inferiores en pacientes con Diabetes Mellitus del régimen contributivo y las diferencias regionales en Colombia

dc.contributorMuñoz Hoyos, Alberto
dc.contributorBuitrago Gutierrez, Giancarlo
dc.contributorGrupo de Investigación Cirugía - Universidad Nacional de Colombia
dc.creatorRodríguez Vera, Ana María
dc.date.accessioned2021-01-29T14:40:25Z
dc.date.available2021-01-29T14:40:25Z
dc.date.created2021-01-29T14:40:25Z
dc.date.issued2021-01-25
dc.identifierhttps://repositorio.unal.edu.co/handle/unal/78990
dc.description.abstractIntroduction: Lower limb amputations due to diabetes are devastating. The world rate is 5,28 per 1.000 diabetic patients. The rates of lower limb amputation in 3 years and the regional differences in diabetic patients of the contributory healthcare system in Colombia are identified. Methodology: A retrospective cohort study of diabetic patients, of the contributory healthcare system in Colombia from 2013 to 2017, with 3-year follow-up. Results: There were 601138 diabetic patients, 45.14% men and 54.86% women. 2973 amputees, 61.45% men and 38.55% women. Amputation rates: Men 6.73 (95% CI [6.42 - 7.04]), women 3.47 (95% CI [3.27 - 3.67]), 80 years or older 7.67 (95% CI [6.90 - 8.45]), 60 to 79 years 6.26 (95% CI [5.96 - 6.60]), 40 to 59 years 3.26 (95% CI [3.02 - 3.50]), under 40 years 0.89 (95% CI [0.57 - 1.21]), Charlson’ index 6 or higher 13.14 (95% CI [10.57 - 15.70]), 4 to 5 points 14.15 (95% CI [12.77 - 15.54]), 3 o less points 4,38 (95% CI [4.20 - 4.55]), adjusted for regions: Atlantic 5.90, Bogota DC 3.99, Central 4.24, Eastern 5.64, Pacific 5.71, Other Departments 12.19. Conclusions: Lower limb amputation rates are higher in the most remote areas of the country, with difficulty in access to the healthcare system and advanced limb salvage management. Mainly men are amputated, older than 60 years and with a higher Charlson’s comorbidity index.
dc.description.abstractIntroducción: Las amputaciones de miembros inferiores por diabetes son devastadoras. La tasa mundial es 5,28 por 1.000 pacientes diabéticos. Se identifican las tasas de amputación de miembros inferiores a 3 años y las diferencias regionales en pacientes diabéticos del régimen contributivo en Colombia. Metodología: Estudio retrospectivo de cohortes de pacientes diabéticos, del régimen contributivo en Colombia de 2013 a 2017, con seguimiento a 3 años. Resultados: Fueron 601.138 pacientes diabéticos, 45,14% hombres y 54,86% mujeres. Amputados 2.973, 61,45% hombres y 38,55% mujeres. Tasas de amputación: Hombres 6,73 (IC 95% [6,42 - 7,04]), mujeres 3,47 (IC 95% [3,27 - 3,67]), 80 años o mayor 7,67 (IC 95% [6,90 - 8,45]), 60 a 79 años 6,26 (IC 95% [5,96 - 6,60]), 40 a 59 años 3,26 (IC 95% [3,02 - 3,50]), menores de 40 años 0,89 (IC 95% [0,57 - 1,21]), índice de Charlson 6 o mayor 13,14 (IC 95% [10,57 - 15,70]), 4 a 5 puntos 14,15 (IC 95% [12,77 - 15,54]), 3 o menor 4,38 (IC 95% [4,20 - 4,55]), ajustadas por regiones: Atlántica 5,90, Bogotá D.C. 3,99, Central 4,24, Oriental 5,64, Pacífica 5,71, Otros Departamentos 12,19. Conclusiones: Las tasas de amputación de miembros inferiores es mayor en las zonas más apartadas del país, con dificultades de acceso a los sistemas de salud y de manejos avanzados de salvamento de la extremidad. Se amputan principalmente hombres, mayores de 60 años y con mayor índice de comorbilidad de Charlson.
dc.languagespa
dc.publisherBogotá - Medicina - Especialidad en Cirugía General
dc.publisherUniversidad Nacional de Colombia - Sede Bogotá
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dc.rightsAtribución-NoComercial-SinDerivadas 4.0 Internacional
dc.rightsAcceso abierto
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rightsinfo:eu-repo/semantics/openAccess
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dc.titleTasas de amputación de miembros inferiores en pacientes con Diabetes Mellitus del régimen contributivo y las diferencias regionales en Colombia
dc.typeOtro


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