Preventing amputations from diabetes mellitus: the Indian Health Service experience
West Indian med. j
;
50(supl.1): 41-43, Mar. 1-4, 2001.
Artigo
em Inglês
| LILACS
| ID: lil-473085
ABSTRACT
With the heavy burden of diabetes mellitus among American Indians and Alaskan Natives, lower-extremity amputation (LEA) has become a common complication. Rates of diabetes-related LEA are 2-3 times those observed in other diabetic populations. During the past 12 years, the Indian Health Service (IHS) has made LEA prevention a public health priority. From 1988 to 1992 screening criteria based on simple examinations were developed and validated in primary care Settings. Prevention efforts have focused on targeting high-risk individuals for self-care foot education, provision of protective footwear, and routine podiatry care. Follow-up studies in Alaska and northern Minnesota saw 25-50reductions in LEA rates associated with these interventions. In settings where these efforts were augmented with system changes, such as team coordination, patient-tracking systems, comprehensive footcare practice guidelines, flowsheets, and outreach programmes, LEA incidence was reduced by 50-75. Efforts are currently underway to disseminate system-based approaches for comprehensive diabetic footcare and to expand the availability of foot care resources to tribal communities served by the IHS.
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Índice:
LILACS (Américas)
Assunto principal:
Indígenas Norte-Americanos
/
Pé Diabético
/
Amputação Cirúrgica
Tipo de estudo:
Estudo de etiologia
/
Guia de Prática Clínica
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
West Indian med. j
Assunto da revista:
Medicina
Ano de publicação:
2001
Tipo de documento:
Artigo
/
Congresso e conferência
País de afiliação:
Estados Unidos
Instituição/País de afiliação:
Bemidji Area Indian Health Service/US
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