Aims

The main objective was to assess the incidence of diabetic foot ulcers in type 2 diabetes individuals from primary care centres in Catalonia, Spain.

Methods

Prospective observational study in 36 Primary Care centres in Catalonia during February 2018 and July 2019 was conducted. We included participants with type 2 diabetes and a new foot ulcer. We estimated the annual foot ulcer incidence and described the characteristics: presence of comorbidities, clinical parameters and the characteristics of the diabetic foot ulcers (DFU) at inclusion in the study.

Results

The incidence of a new DFU during the 12-month recruitment period was 0.42%. The mean age of the participants was 72.2 years (± 12.7), the majority of them were males (n = 178; 69.5%). Overall, 43.8% of DFUs were located on the dorsal aspect of toes or interdigital spaces. A percentage of 43.4% of the participants had ulcers of less than 1 cm2 surface. Further, 44.1% of the participants had a neuroischemic, 20.3% a neuropathic, 20.3% an ischemic ulcer. A 25.3% of ulcers with a concomitant peripheral artery disease were infected.

Conclusions

Although the incidence found was low, our study shows the great complexity of patients with foot ulcers treated in primary care.

中文翻译：

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加泰罗尼亚初级保健中心 2 型糖尿病患者糖尿病足溃疡的发病率和特征：一项观察性多中心研究

目标

主要目的是评估西班牙加泰罗尼亚初级保健中心的 2 型糖尿病患者的糖尿病足溃疡发生率。

方法

2018 年 2 月和 2019 年 7 月在加泰罗尼亚的 36 个初级保健中心进行了前瞻性观察研究。我们纳入了患有 2 型糖尿病和新的足部溃疡的参与者。我们估计了每年的足部溃疡发病率并描述了特征：合并症的存在、临床参数和纳入研究时糖尿病足溃疡 (DFU) 的特征。

结果

在 12 个月的招募期间，新的 DFU 的发生率为 0.42%。参与者的平均年龄为 72.2 岁 (± 12.7)，其中大多数是男性 (n = 178; 69.5%)。总体而言，43.8% 的 DFU 位于脚趾或趾间间隙的背侧。43.4% 的参与者的溃疡面积小于 1 平方厘米。此外，44.1% 的参与者患有神经缺血，20.3% 患有神经病，20.3% 患有缺血性溃疡。25.3% 的溃疡伴有外周动脉疾病被感染。

结论

尽管发现的发病率很低，但我们的研究表明在初级保健中治疗的足部溃疡患者非常复杂。