PERFIL CLÍNICO Y METABÓLICO DE PACIENTES DIABÉTICOS CON AMPUTACIÓN SUPRACONDÍLEA

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Introduction: Micro and macrovascular complications of diabetes are a public health problem that affects the patient's quality of life and may require surgical amputation. Objective: Determine the clinical and metabolic profile of diabetic patients with supracondylar amputation. Methods: Observational, cross-sectional and descriptive study, analyzing the medical records of 200 patients from a tertiary care hospital in Ecuador. Results: 60% of patients with amputation are over 65 years of age, with the male gender being more common, with 71% of the total cases having been diagnosed with Diabetes Mellitus for more than 10 years, the comorbidity that predominates in them is Arterial hypertension in 67.55% of cases. The predominant type of diabetic foot is the ischemic type, 70% with glycosylated hemoglobins over 7%. More than 50% of the cases had previously undergone minor amputations. Metabolically, 66% had a body mass index (BMI) >25, with low HDL cholesterol levels, high LDL cholesterol levels and high triacylglycerol levels. Conclusions: Diabetic patients with supracondylar amputation have an altered metabolic profile, with high cholesterol and triglycerides, poor glycemic control, and BMI >25. They have long hospital stays due to the multiple comorbidities they present such as HTN, stroke, diabetic retinopathy, diabetic nephropathy, ischemic heart disease; In addition to presenting anemia and leukocytosis, they are patients with difficult care and difficult clinical and surgical management and with a high risk of morbidity and mortality

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