<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1682-0037</journal-id>
<journal-title><![CDATA[Revista Cubana de Angiología y Cirugía Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1682-0037</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1682-00372020000300005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores pronósticos de amputación mayor en pacientes con pie diabético sometidos a cirugía]]></article-title>
<article-title xml:lang="en"><![CDATA[Major amputation´s prognostic factors in patients with diabetic feet undergoing surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escalante Padrón]]></surname>
<given-names><![CDATA[Odalys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Varela]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Nápoles]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Hidalgo]]></surname>
<given-names><![CDATA[Roberto Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas &#8220;Dr. Carlos J. Finlay&#8221;  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario &#8220;Manuel Ascunce Domenech&#8221;  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>21</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1682-00372020000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1682-00372020000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1682-00372020000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El pie diabético es una causa importante de morbilidad y constituye una complicación crónica de la diabetes mellitus que repercute en la calidad de vida. Los pacientes con pie diabético tienen una tasa alta de amputación, procedimiento quirúrgico que afecta emocional y económicamente a pacientes, familiares, médicos de asistencia y a la sociedad.  Objetivos: Identificar los factores pronósticos de amputación mayor en pacientes con pie diabético sometidos a cirugía.  Métodos: Se realizó un estudio descriptivo analítico de corte transversal en 73 pacientes con diagnóstico de pie diabético: 29 con amputación mayor y 44 con amputación menor. Las variables estudiadas fueron: edad, sexo, tipo de diabetes y su tiempo de evolución, pulsos arteriales, tipo de pie diabético, presencia de úlcera isquémica infectada, absceso, osteomielitis, úlcera neuropática, gangrena digital, necrosis tisular progresiva e infección. Se calcularon las frecuencias absolutas y relativas, y se asociaron las variables.  Resultados: Hubo predominio del sexo masculino (56,2 %) y de la diabetes mellitus de tipo 2 (93,2 %). La necrosis tisular progresiva se observó en 30 pacientes y la úlcera isquémica representó el 30,1 %.  Conclusiones:  La úlcera isquémica con infección, la gangrena digital y la necrosis tisular progresiva resultaron los factores pronósticos de amputación mayor identificados en los pacientes con pie diabético sometidos a cirugía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Diabetic foot ulcer is a major cause of morbidity and it is a chronic complication of diabetes mellitus that impacts quality of life. Patients with diabetic feet have a high amputation rate, a surgical procedure that emotionally and economically affects patients, family members, physicians and society.  Objective:  To identify the prognostic factors for major amputation in patients with diabetic foot ulcer undergoing surgery.  Methods:  A descriptive cross-sectional analytical study was conducted in 73 patients diagnosed with diabetic foot ulcer: 29 with major amputation and 44 with minor amputation. The variables studied were: age, sex, type of diabetes and its evolution time, arterial pulses, type of diabetic foot, presence of infected ischemic ulcer, abscess, osteomyelitis, neuropathic ulcer, digital gangrene, progressive soft-tissue necrosis and infection. Absolute and relative frequencies were calculated, and variables were associated.  Results:  There was predominance of the male sex (56.2%) and of diabetes mellitus type 2 (93.2%). Progressive soft-tissue necrosis was observed in 30 patients and the ischemic ulcer represented the 30.1%.  Conclusions:  Ischemic ulcer with infection, digital gangrene and progressive soft-tissue necrosis resulted in the major amputation´s prognostic factors identified in diabetic foot patients undergoing surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pie diabético]]></kwd>
<kwd lng="es"><![CDATA[amputación mayor]]></kwd>
<kwd lng="es"><![CDATA[factores pronósticos]]></kwd>
<kwd lng="es"><![CDATA[formas clínicas de presentación de la úlcera de pie diabético]]></kwd>
<kwd lng="en"><![CDATA[Diabetic foot]]></kwd>
<kwd lng="en"><![CDATA[major amputation]]></kwd>
<kwd lng="en"><![CDATA[prognostic factors]]></kwd>
<kwd lng="en"><![CDATA[clinical forms of presentation of diabetic foot ulcer]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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