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Id: |
lil-473085
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Autor: |
Rith-Najarian, S; Dannels, E; Acton, K. |
Título: |
Preventing amputations from diabetes mellitus: the Indian Health Service experience |
Fonte: |
West Indian med. j;50(supl.1):41-43, Mar. 1-4, 2001.
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Idioma: |
en.
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Conferência: |
Apresentado em: Annual International Conference of the University Diabetes Outreach Project, 7, Ocho Rios, Mar. 1-4, 2001.
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Resumo: |
With the heavy burden of diabetes mellitus among American Indians and Alaskan Natives, lower-extremity amputation (LEA) has become a common complication. Rates of diabetes-related LEA are 2-3 times those observed in other diabetic populations. During the past 12 years, the Indian Health Service (IHS) has made LEA prevention a public health priority. From 1988 to 1992 screening criteria based on simple examinations were developed and validated in primary care Settings. Prevention efforts have focused on targeting high-risk individuals for self-care foot education, provision of protective footwear, and routine podiatry care. Follow-up studies in Alaska and northern Minnesota saw 25-50reductions in LEA rates associated with these interventions. In settings where these efforts were augmented with system changes, such as team coordination, patient-tracking systems, comprehensive footcare practice guidelines, flowsheets, and outreach programmes, LEA incidence was reduced by 50-75. Efforts are currently underway to disseminate system-based approaches for comprehensive diabetic footcare and to expand the availability of foot care resources to tribal communities served by the IHS.
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Descritores: |
Amputação Índios Norte-Americanos Pé Diabético/etnologia Pé Diabético/cirurgia
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-Alaska Incidência Educação de Pacientes como Assunto Podiatria Pé Diabético/prevenção & controle Fatores de Risco Autocuidado Serviços de Saúde do Indígena/normas Estados Unidos United States Indian Health Service
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Limites: |
Humanos
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Responsável: |
BR1.1 - BIREME
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