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vol.45 issue5Capilaroscopia da prega ungueal em crianças com diabetes mellitus tipo IExiste concordância no acometimento renal e retiniano da microangiopatia diabética? author indexsubject indexarticles search
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Arquivos Brasileiros de Endocrinologia & Metabologia

On-line version ISSN 1677-9487


MILMAN, Mauro H.S.A. et al. Pé diabético: avaliação da evolução e custo hospitalar de pacientes internados no conjunto hospitalar de Sorocaba. Arq Bras Endocrinol Metab [online]. 2001, vol.45, n.5, pp.447-451. ISSN 1677-9487.

Diabetic foot is one of the most important complications of diabetes mellitus (DM) and it is an ordinary cause of hospitalization. The costs of these hospitalizations and the social charge are serious health problems. To evaluate diabetic hospitalized patients with foot lesions, we studied 23 patients (14M, 9F; 39-80 years old), from April to November 1999. All had type 2 DM and 48% showed glucose levels <200mg/dL when admitted into the hospital. Foot lesions were categorized as follow (according to Wagner): grade 1: 26%; grade 2: 17%; grade 3: 13%; grade 4: 35%; grade 5: 9%. Sixty-five percent of the patients evolved to amputations (30% at thigh level). Median time of the hospitalization was 14 days. Median cost was R$1,004 and in 24% of the hospitalizations it was higher than R$2,000. If we aggregate the mean expenditure with prosthesis (R$1,900), the charges are around R$3,000. Nine patients were at economically active age. Patients with foot lesions are responsible for long time hospitalizations with high costs, which is inadequate to the public health care system in our country. Consequently, prevention is absolutely significant to improve the prognosis of this pathology.

Keywords : Diabetes mellitus; Amputation; Diabetic foot; Health expenditures.

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