Valoración de la gravedad de la herida por pie diabético en pacientes del área de curaciones de un Hospital de la ciudad de Guayaquil, año 2025

Abstract

Diabetic foot wounds represent one of the most frequent and serious complications in patients with type II diabetes mellitus, with a high risk of amputation if not diagnosed and treated promptly. Objective: To assess the severity of diabetic foot wounds in patients in the healing area of a hospital in the city of Guayaquil, year 2025. Methodology: Descriptive, Quantitative, Non-experimental, prospective, cross-sectional Instrument: Saint Elian Scale Results: Of 258 patients evaluated, 66% are 60 years of age or older, 57% are men and 80% have type II diabetes mellitus, 72% of the wounds are located on phalanges / fingers, 65% in dorsal or plantar areas, 80% affect a single area, 75% have decreased protective sensitivity, 76% mild infection, 70% deep ulcer and 63% perilesional edema, 82% of the lesions have an area less than 10 cm and 36% are in the inflammatory or epithelialization phase, the application of the Saint Elian Scale an average score of 14.74 classifying the severity as grade II Conclusions: Most patients present wounds of moderate severity, with aggravating factors such as neuropathy, infection and ischemia that threaten the integrity of the foot