Approaches and results of the applications of the classifications for patients with diabetic foot
Keywords:
pie diabético, clasificaciones, reducción de amputaciones, Heberprot-P.Abstract
There is a large number of classification systems in patients with diabetic foot. The importance of a correct classification of injuries determines the treatment to be carried out and can provide data on the prognosis of patients regarding possible amputations. In recent years the trend is towards the development of more complex systems, with the use of technology. The McCook et al. classification has been the basis for the treatment of patients with diabetic foot in Cuba; To this, the hemodynamic classification was added later and when the Heberprot-p began to be applied, the Wagner classification was associated, but always with McCook's optics. This initial vision and its subsequent development have led Cuba to achieve minimal amputation figures, different from what happens in other countries. This work expresses the author's opinion about the results using the classifications used in Cuba.Downloads
References
2. Jones NJ, Harding K. 2015 International Working Group on the Diabetic Foot Guidance on the prevention and management of foot problems in diabetes. Int Wound J. 2015 [acceso: 23/01/2020]; 2(4):373-4. DOI: 10.1111/iwj.12475
3. García Herrera AL. Diagnóstico y tratamiento del pie diabético. La Habana: Editorial Elfos Scientiae; 2018.
4. García Herrera AL. El pie diabético en cifras. Apuntes de una epidemia. Rev Med Electrón. 2016 [acceso: 23/01/2020]; 38(4):514-6. Disponible en: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/1953/html_138
5. Martínez de Jesús F, Guerrero Torres G, Martínez Guerra HJ, Escobar Monroy A, Blandieres Cámara E, Muñoz Prado JA, et al. Guía de práctica clínica: Prevención, diagnóstico y tratamiento de infecciones en pie diabético. México DF: Asociación Mexicana de cirugía general; 2014 [acceso: 23/01/2020]. Disponible en: https://www.researchgate.net/publication/306080397_Infecciones_en_Pie_-Diabetico_Guias_de_Practicas-_Clinicas_de_la_Asociacion_Mexicana_de_CIRUGIA_General/links/57aeae8e08ae-bv2cf17bdf4db/Infecciones-en-Pie-Diabetico-Guias-de-Practicas-Clinicas-de-la-Asociacion-Mexicana-de-CIRUGIA-General.pdf
6. Chávez Ivisate G, Casanova Moreno MC, Socarrás López C, Silva Sánchez DM, Gómez Guerra DB. Costos de la atención en un Centro de Atención al Diabético de Pinar del Río. Rev Cienc Med Pinar Río. 2018 [acceso: 23/09/2018]; 22(4):64-74. Disponible en: https://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942018000400009&lng=es
7. González Casanova JM, Machado Ortiz FO, Casanova Moreno MC. Pie diabético: una puesta al día. Univ Med Pinareña. 2019 [acceso: 03/07/2020]; 15(1): 134-47. Disponible en: https://revgaleno.sld.cu/index.php/ump/article/view/332
8. González de la Torre H, Berenguer Pérez M, Mosquera Fernández A, Quintana Lorenzo ML, Sarabia Lavín R, Verdú Soriano J. Clasificaciones de lesiones en pie diabético II. El problema permanece. Gerokomos. 2018 [acceso: 03/07/2020]; 29(4): 197-209. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2018000400197&lng=es .
9. Durán Llobera C. Angiología y Cirugía Vascular en Cuba: Apuntes históricos. Rev Cubana Angiol Cir Vasc. 2018 [acceso: 05/0520/2021]; 19(2): 75-81.Disponible en: https://revangiologia.sld.cu/index.php/ang/article/view/6/3
10. Marinel lo Roura J, Blanes Mompo J, Escudero Rodríguez JR, Ibáñez Esquembre V, Rodríguez Olay J. Tratado de Pie Diabético. España: Centro de Documentación del Grupo Esteve; 1999 [acceso: 03/07/2020]. Disponible en: https://www.esteveagora.com/medico/tratado-de-pie-diabetico
11. González de la Torre H, Mosquera Fernández A, Quintana Lorenzo ML, Perdomo Pérez E, Quintana Montesdeoca MP. Clasificaciones de lesiones en pie diabético: Un problema no resuelto. Gerokomos. 2012 [acceso: 03/07/2020]; 23(2): 75-87. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-28X2012000200006
12. Mc Cook Martínez J, Montalvo Diago J, Ariosa Coloma MC, Fernandez Hernandez P. Hacia una clasificación etiopatogénica del llamado pie diabético. Angiología. 1979 [acceso: 03/07/2020]; 31: 7-11. Disponible en: https://www.elsevier.es/es-buscar?cmbBuscador=00033170&txtBuscador=Hacia+una+clasificaci%C3%B3n+-etiopatog%C3%A9nica-+del+llamado+pie+diab%C3%A9tico
13. Aldama A, Vega ME, Fernández JI, Borrás M. Caracterizão hemodinâmica da angiopatia diabética. Rev Bras Flebol Linfol 1997; 4:17-21.
14. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System. J Wound Ostomy Continence Nurs. 2016 [acceso: 03/07/2020]; 3(6): 585-97. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27749790/
15. Game F. Classification of diabetic foot ulcers. Diabetes Metab Res Rev. 2016 Jan [acceso: 03/07/2020]; 32(Suppl 1):186-94. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26455509/
16. Marinel Roura J, Verdú Soriano J. Clasificación de la UEEII en función de su estructura morfológica. En: Conferencia nacional de consenso sobre las úlceras de la extremidad inferior (C.O.N.U.E.I.): Documento de consenso. 2da. ed. Madrid: Ergon; 2018[acceso: 03/07/2020]. Disponible en: https://www.aeev.net/guias/conuei2018aeevh.pdf
17. International Working Group on the Diabetic Foot. IWGDF Guideline on the classification of diabetic foot ulcers. IWGDF Guidelines; 2019. [acceso: 03/07/2020]. Disponible en: https://iwgdfguidelines.org/wp-content/uploads/2019/05/IWGDF-Guidelines-2019.pdf
18. Rivero Fernández F, del Risco Turiño CA, Chirino Carreño N. Caracterización clínico hemodinámica del pie diabético. Rev Arch Méd Camagüey. 2006 [acceso: 03/07/2020]; 10(6):35-46. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/2750
19. Khammash MR, Obeidat KA. Prevalence of ischemia in diabetic foot infection. World J Surg. 2003 [acceso: 03/07/2020]; 27(7):797-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/14509508/
20. Martínez Gálvez I, Rodríguez Rodríguez Y. Úlcera del pie diabético tratado con Heberprot-p®. Rev Cubana Angiol Cir Vasc. 2020 [acceso: 25/02/2020]; 21(1): e90. Disponible en: https://revangiologia.sld.cu/index.php/ang/article/view/90
21. Mesa Pérez EJ, Peregrino Callis G, Rosell Valdenebro L, Fong Sorribe R. Costo-beneficio del tratamiento con Heberprot-P® en pacientes con pie diabético. MEDISAN. 2018 Mar [acceso: 03/07/2020]; 22(3):223-33. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192018000300002&lng=es
22. Hernández Cañete CM, Jácome Ruiz R, Iturralde Farlen L, Sánchez Montiel ME. Resultados y reacciones adversas en pacientes tratados con Heberprot-P® en la comunidad. Rev Cubana Angiol Cir Vasc. 2017 [acceso: 23/12/2019]; 18(1):35-42. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1682-00372017000100004&lng=es
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