Association between hospitalization stay and diabetic foot: an analytical cross-sectional study in three Peruvian hospitals

• Autores: Mejia, Christian R., Paucar-Tito, Liz, Morales-Concha, Luz, Atamari Anahui, Noé, Rondón-Abuhadba, Evelina Andrea, Ordoñez-Linares, Marco Edmundo
• Formato: artículo
• Fecha de Publicación: 2018
• Institución: Universidad San Ignacio de Loyola
• Repositorio: USIL-Institucional
• Lenguaje: español
• OAI Identifier: oai:repositorio.usil.edu.pe:20.500.14005/8436
• Enlace del recurso: https://hdl.handle.net/20.500.14005/8436; http://www.medwave.cl/link.cgi/Medwave/Estudios/Investigacion/7336; http://dx.doi.org/10.5867/medwave.2018.07.7336
• Nivel de acceso: acceso abierto
• Materia: Diabetes Mellitus; Paciente; Servicio de salud; Política de la salud

Diabetic foot is one of the main complications of diabetes mellitus; however, in hospitals of provinces from Perú, the relationship of this condition with hospital stay has not been calculated. Objective: To determine the association between hospitalization time and diabetic foot in three hospitals from Cusco, Perú. Methods: A cross-sectional study of secondary data analysis was conducted. We analyzed the data of patients with type 2 diabetes mellitus admitted to the internal medicine service between January and December 2016, in three tertiary hospitals in Cusco, Peru. Correlation coefficients and p-values were calculated using generalized linear models, with Gaussian family and identity function, adjusted by intervening variables. Values of p < 0.05 were considered statistically significant. Results: Of the 153 patients, 14% (21) had a diabetic foot diagnosis, and their median age was 61 years (interquartile range 56 to 68). Those who had a diabetic foot had on average 20 hospitalization days. A strong association was found between a diabetic foot and the number of hospitalization days (17 days more, p = 0.003); adjusted by six variables. Those patients with a history of hypertension had more hospitalization days (10 days more, p = 0.011) and those admitted to a hospital of the Ministry of Health, had fewer hospitalization days (10 days less, p = 0.032). Conclusion: The group of patients with diabetic foot had a longer hospitalization time. The longer hospitalization time could be due to complications of the disease or difficulties in management.