Abstract

GARCIA VIEJO, Azucena. Peripheral arterial disease and diabetic foot in patients on haemodialysis programme. Enferm Nefrol [online]. 2012, vol.15, n.4, pp.255-264. ISSN 2255-3517.  https://dx.doi.org/10.4321/S2254-28842012000400003.

Despite the high prevalence of cardiovascular disease and diabetes in patients on dialysis, there are not many studies that analyse the incidence of the risk factors and the repercussions of peripheral arteriopathy and diabetic foot in patients undergoing dialysis. Aims: To determine the prevalence of peripheral arteriopathy and diabetic foot in dialysis patients in our unit. To establish a classification by risk that will allow us to carry out a better monitoring and prevention of ulcers and amputations of lower limbs. Material and methods: Transversal descriptive observational study. Carried out with 51 patients included in the haemodialysis programme of the Unit in Segovia. Analyses were carried out of the different risk factors that influence the presence of arteriopathy and diabetic foot, and the different relationships between them as well as a stratification of the risk in the population studied. Results: 45% of the patients present peripheral arterial disease and 58% have sensitivity alterations. Diabetes firstly and cardiovascular diseases are the factors that have the most influence in these problems. Conclusions: Categorizing our patients according to risk will make it possible to plan strategies to prevent the appearance of these complications. The absence of previous examination shows inadequate monitoring. The high prevalence of these pathologies makes protocolized monitoring necessary.

Keywords : Peripheral arterial disease; Diabetes mellitus; Haemodialisys; Diabetic neuropathy; Ankle-Brachial index; Semmes-Weinstein monofilament.

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