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Biomedical subjects

M Trilla Soler

Publications and source records attributed to M Trilla Soler.

8 recordsLinked to original sources
PubMed1997

[Self care and risk factors of diabetic foot in patients with type II diabetes mellitus].

OBJECTIVES: To find the amount of self-care (SC), health education (HE) received and the prevalence of risk factors for diabetic foot (RFDF) in patients with type II Diabetes Mellitus (DM) attended in Primary Care. DESIGN: A descriptive crossover study. SETTING: Primary Care Centre. PATIENTS: 100 DM patients attending over 2 months (May and June 1995) to see the doctor or collect prescriptions. MEASUREMENTS AND MAIN RESULTS: Questionnaire on HE, SC habits and social and demographic data, inspection of the feet and physical investigation of lower extremities. 36% had deficient or very deficient hygiene; 73% did not go regularly to the chiropodist, 76% used scissors, 75% did not check the inside of the shoe. 38% had signs of neuropathy and 17%, of peripheric vasculopathy. 25% were at high risk of diabetic foot. Women had more RFDF. CONCLUSIONS: The amount of self-care is very low, especially in hygiene, which did not improve over time. HE on foot care is extremely poor despite its being a priority. Educational interventions are required to motivate healthworkers and patients, especially those with most RFDF, in the area of SC.

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PubMed1989

[Macroangiopathy in 297 type 2 diabetic patients: prevalence and risk factors].

A cross-sectional study was carried out in Cornellà with type II diabetic patients to assess their prevalence of microangiopathy and their major risk factors. The study included 297 patients (102 males and 197 females) with a mean age of 61 years. In 45.5% of cases some feature of microangiopathy was found: 35% had peripheral vascular disease; 24.5% had coronary artery disease, and 7.1% cerebrovascular disease. The variables associated with this complication were investigated with the logistic regression technique. A significant association was found between microangiopathy as a whole and the duration of diabetes mellitus, age and smoking. Peripheral vascular disease was associated with age, clinical duration and male sex; coronary artery disease was associated with male sex and the mean level of blood triglycerides, and cerebrovascular disease was associated with age.

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PubMed1989

[Prevalence of peripheral somatic neuropathy in type 2 diabetes mellitus].

A cross-sectional study of 297 type 2 diabetic patients was carried out to evaluate their prevalence of peripheral somatic neuropathy. Their mean age was 61 years, with a predominance of females (65.7%) over males (34.3%). The clinical duration of diabetes was longer than 10 year in 45% of the evaluated patients, and metabolic control was poor in almost one half of them (49.5%). The most common symptom were cramps, while abnormal vibratory sense was the predominant physical finding. Neuropathy was significantly associated with mean age (t = 4.32, p less than 0.0001), the years of duration of diabetes (chi(2) = 11.16, p = 0.01) and the metabolic control degree (chi(2) = 24.2, p less than 0.001) in the bivariate analysis, while in multivariate analysis it was only associated with age (e beta = 1,637, p less than 0.0001) and the metabolic control degree (e beta = 4.02, p less than 0.0001).

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