Clasificación de San Elían, para el seguimiento de las úlceras de pie diabético y su relevancia terapéutica en pacientes internados en las salas de hospitalización de medicina interna y cirugía del Hospital General Guasmo Sur (octubre - diciembre, 2017).

Abstract

Introduction: There are currently different classifications and scales useful for the assessment of diabetic foot, however most of them are only applicable in the initial evaluation and not in the follow-up. However, the Mexican classification of San Elian is the exception, because it is a diagnostic and therapeutic method that empowers the health professional to evaluate the evolution, follow-up and the curative impact of diabetic foot ulcers according to the severity and prognosis of the wound. Objective: To demonstrate the usefulness of the classification of San Elian, for the follow-up of diabetic foot ulcers and their therapeutic relevance in patients diagnosed with diabetic foot hospitalized in the internal medicine and surgery hospitalization rooms of the General Guasmo Sur Hospital in a 3-month period. Materials and methods: The study is descriptive, cross-sectional observational, using the San Elian classification to identify the multiple quantitative and qualitative variables of 100 patients diagnosed with diabetic foot. Results: The most affected sex was male. In both sexes, the initial location with greater frequency was tarsal to predominantly of the plantar area. The most important aggravating factor was ischemia. With these data, the classification of the severity gave as a result that patients at the beginning of the diagnosis have a higher proportion of moderate commitment. In addition, it was established that high levels of glycemia are highly related to a greater amputation of the lower limb. Conclusion: It was demonstrated that the therapeutic resolution by the vascular surgeon coincided with the severity and prognostic parameters indicated by the classification. This is why it is concluded that the San Elian classification is 100% applicable for all health professionals, without the need for previous studies in vascular surgery.