Clasificaciones de lesiones en pie diabético II. El problema permanece
- Héctor González de la Torre
- Miriam Berenguer Pérez
- Abián Mosquera Fernández
- María Luana Quintana Lorenzo
- Raquel Sarabia Lavín
- José Verdú Soriano
ISSN: 1134-928X
Año de publicación: 2018
Volumen: 29
Número: 4
Páginas: 197-209
Tipo: Artículo
Otras publicaciones en: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica
Resumen
RESUMEN Introducción: Se han publicado diversos sistemas de clasificación para las lesiones de pie diabético, si bien ninguno de los propuestos ha sido asumido por la comunidad científica como el sistema a utilizar por todos, y esto es debido a múltiples razones. Objetivos: Dar visibilidad a los nuevos sistemas de clasificación de pie diabético surgidos en los últimos años, además de poder contrastarlos con los sistemas ya conocidos anteriormente. Material y método: Búsqueda bibliográfica en las bases de datos SCOPUS, PubMed/Medline, WOS, CINHAL, Cochrane y CUIDEN. La ecuación de búsqueda utilizada fue la combinación booleana de los términos MeSH “diabetic foot AND classification”. La búsqueda se realizó entre el 1 febrero de 2018 y el 30 marzo de 2018. Resultados: Existen 25 sistemas de clasificación de úlceras de pie diabético, que se pueden dividir en sistemas de clasificación-severidad de la lesión o sistemas de predicción de curación-amputación. Muy pocos sistemas han sido validados adecuadamente. Conclusiones: La elección del sistema de pie diabético a utilizar va a estar condicionada por aspectos como el ámbito asistencial, los recursos disponibles o los objetivos que se persiguen. En los últimos años se prefiere el uso de sistemas con enfoque predictivo frente a los sistemas con enfoque descriptivo.
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