Endocrine Abstracts

Objective: To outline the risk factors, the epidemiological profile, and the classification of diabetes type two foot ulcer.

Methods: A prospective observational study, including all the people that sought out in a consecutive way, a tertiary diabetic foot service, from February 2002 until September 2012. At admission, the patients were examined and had their ulcers evaluated by only one observer, in accordance with the University of Texas classification.

Results: Were evaluated 973 patients. The average age was 64.6 years ±12.6 and 52.8% of them were female. The average age of the diagnosis of diabetes was 53.9 years ±14.2. Arterial hypertension was present in 69.4%, 38% of the patients had ischemia and 74.7% presented infection. When divided according to gender, the average age of the females was 66.4 years ±12.4 and 62.41 years ±12.6 (P<0.01) for the males. The diagnostic time for the females was 11.3 years and 9.52 years for the males (P<0.01). In the classification of the wound, the prevalence of ischemia was 38% and of infection 74.7%. Penetrating to tendon or capsule were 16.9%. Penetrating to bone or joint, were 13.8%.

Conclusions: Even though there were a higher proportion of women, the men were significantly younger and had less sickness time than the women. The prevalence of ischemia and infection was greater than that reported in current literature (10.7 and 38%, respectively).