Crónicas de autores

Roberto Zambelli De Almeida Pinto *

Autor invitado por SIIC

Este trabalho demonstra com dados concretos como a harmonia entre os profissionais assistentes de um paciente diabético com infecção nos pés pode minimizar os impactos negativos desta doença tão devastadora

ABORDAGEM MULTIDISCIPLINAR DO PACIENTE DIABÉTICO COM INFECÇÃO NOS PÉS: PREVENÇÃO DE AMPUTAÇÕES MAIORES

Os pacientes submetidos a revascularização dos membros inferiores previamente à amputação apresentaram melhor prognóstico, com diminuição do tempo de cicatrização e menor incidência de revisão do coto. A abordagem multidisciplinar, com uma interação harmônica entre as equipes assistentes, favorece o tratamento e a manutenção de um coto mais distal.

*Roberto Zambelli De Almeida Pinto
describe para SIIC los aspectos relevantes de su trabajo
ABORDAGEM MULTIDISCIPLINAR DO PACIENTE DIABÉTICO COM INFECÇÃO NOS PÉS: PREVENÇÃO DE AMPUTAÇÕES MAIORES
Revista Brasileira de Medicina,
67:13-18 Dic, 2010

Esta revista, clasificada por SIIC Data Bases, integra el acervo bibliográfico
de la Biblioteca Biomédica (BB) SIIC.

Institución principal de la investigación
*Hospital Mater Dei, Belo Horizonte, Brasil
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Referencias bibliográficas
American Diabetes Association. Diabetes Statistics em: www. diabetes.org/diabetes-statistics.jsp Pecoraro R, Reiber G, Burgess E: Pathways to diabetic limb amputations; basis for prevention. Diabetes Care. 1990; 13: 513-21. Pinzur MS, Slovenkai MP, Trepman E et al: Diabetes Committee of American Orthopaedic Foot and Ankle Society. Guidelines for diabetic foot care: recommendations endorsed by the Diabetes Committee of American Orthopaedic Foot and Ankle Society. Foot Ankle Int. 2005; 26(1): 113-9. Philbin TM, Leyes M, Sferra JJ et al. Orthotic and prosthetic devices in partial foot amputations. Foot Ankle Clin 2001;6:215-28. Lavery LA, Wunderlich RP, Tredwell JL: Disease management for the diabetic foot: Effectiveness of diabetic foot prevention program to reduce amputations and hospitalizations. Diabetes Research and Clinical Practice. 2005; 70: 31-37. Pollard J, Hamilton GA, Rush SM, Ford LA. Mortality and morbidity after transmetatarsal amputation: retrospective review of 101 cases. The Journal of Foot & Ankle Surgery. vol 45. No 2. March/April 2006. 91-97. Caputo GM, Cavanagh PR, Ulbrecht JS, et al: Assessment and management of foot disease in patients with diabetes. N Engl J Med. 1994; 331: 854-60. Reiber GE, Smith DG, Wallace C, et al: Effect of therapeutic footwear on foot reulceration in patients with diabetes: A randomized controlled trial. JAMA. 1999; 287: 2552-8. Trautner C, Haastert B, Giani G, Bergert M: Amputations and diabetes: a case-control study. Diabetic Medicine. 2002; 19: 35-40. Lind J, Kramhoff M, Bodker S. The influence of smoking on complication after primary amputations of the lower extremity. Clin Orthop. 1991; 267: 211-17. Miyajima S, Shirai A, Yamamoto S, Okada N, Matsushita T. Risk factors for major limb amputations in diabetic foot gangrene patients. Diabetes Research and Clinical Practice. vol 71. 2006. 272–279. Davis WA, Norman PE, Bruce DG, Davis TME. Predictors, consequences and costs of diabetes-related lower extremity amputation complicating type 2 diabetes: The Fremantle Diabetes Study. Diabetologia. 2006; 49: 2634-41. Adler AI, Boyko EJ, Ahroni JH, Smith DG. Lower-extremity amputation in diabetes. Diabetes Care. 1999; 22: 1029-35. Santos VP, Silveira DR, Caffaro RA; Risk factors for primary major amputation in diabetic patients. Sao Paulo Med J.. vol 124. No 2. 2006. 66-70. Dillingham TR, Pezzin LE, Shore AD. Reamputation mortality heath care costs among persons with dysvascular lower limb amputations. Arch Phys Med Rehabil. Vol 86. 2005. 480-486. Winkley K, Stahl D, Chalder T, Edmonds ME, Ismail K. Risk factors associated with adverse outcomes in a population-based prospective cohort study of people with their first diabetic foot ulcer. Journal of Diabetes and Its Complications. vol 21. 2007. 341–349. Larsson J, Agardh CD, Apelqvist J, et al: Long-term prognosis after healed amputation in patients with diabetes. Clin Orthop. 1998; 350: 149-158.


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