RESUMO
RESUMEN Objetivo : determinar la relación entre albuminuria y mortalidad en adultos mayores con pie diabético atendidos en la Clínica de Día del Servicio de Geriatría del Centro Médico Naval del Perú "Cirujano Mayor Santiago Távara" en el periodo 2010-2015. Materiales y Métodos : estudio cuantitativo, observacional, analítico, cohorte retrospectiva. Se incluyeron datos de 89 pacientes adultos mayores, que cumplieron los criterios de selección. Se realizó un análisis descriptivo incluyendo las principales variables como fallecimiento durante el estudio, comorbilidades y variables sociodemográficas. Posteriormente, se hizo un análisis bivariado en base a supervivencia al final del estudio donde se analizaron todas las covariables en base a la variable principal del estudio (mortalidad). Resultados : la edad promedio fue de 79,3 ± 7,2 años con predominancia del sexo masculino (58,4%), encontramos que 52 participantes (58,4%) tenían antecedentes de albuminuria y que el 7,9% de la población falleció durante el estudio, de los cuales el 100% presentaba albuminuria. Finalmente, al igual que en el caso de albuminuria, todos los pacientes con antecedente de amputación por pie diabético fallecieron durante el seguimiento. Conclusión : se encontró relación significativa entre la presencia de albuminuria y mortalidad en los adultos mayores con pie diabético incluidos en el estudio.
ABSTRACT Objective : To determine the relationship between albuminuria and mortality in elderly subjects with diabetic foot seen in the outpatient clinic in Cirujano Mayor Santiago Tavara Peruvian Navy Medical Center between 2010 and 2015. Materials and Methods : This is a quantitative, observational, analytical and retrospective cohort study. Data from 89 elderly subjects who complied with selection criteria was entered. A descriptive analysis was performed in which the following variables were included: death during the study, comorbidities, and sociodemographic data. Afterwards, a bivariate analysis based on survival at the end of the study was performed, where all covariates based on the main variable of the study (mortality) were assessed. Results : Average age of subjects was 79.3 ± 7.2 years, and they were mainly male (58.4%). We also found that 52 subjects (58.4%) had a past history of albuminuria, and that 7.9% of the studied population died during the study. All of them (100%) had albuminuria. Finally, as it was the case with albuminuria, all subjects who had undergone amputation because of diabetic foot died during follow-up. Conclusion : A significant relationship between albuminuria and mortality was found in elderly subjects with diabetic foot who were included in this study.