Abstract
Abstract
Objective: To establish the frequency of diabetic polyneuropathy (DPN) and its possible associated factors in a group of patients hospitalized in an institution in Bogota, Colombia.
Methods: Cross-sectional study of 132 hospitalized diabetic patients to whom the Michigan Neuropathy Screening Instrument test and the 10g Semmes-Weinstein monofilament test were applied. For statistical analysis, we employed frequency tables, central tendency and dispersion statistics, odds ratio, and a multiple logistic regression model.
Results: The proportion of PND in this study was 60.6% (95% CI 0.52 – 0.68). The main associated factors were loss of vibratory sensitivity (OR 3.4, 95% CI 1.1 ‒ 10.9), loss of the Achilles reflex (OR 12.4, 95% CI 1.5 ‒ 102.9), sensation of numbness in the feet (OR 2.6, 95% CI % 1.1 ‒ 6.2) and nocturnal exacerbation of sensory symptoms (OR 3.4, 95% CI 1.3 ‒ 9.0).
Conclusions: The proportion of PND in this study was higher than that reported in the literature. Additional studies are required to determine the prevalence of PND in the community and low-complexity care centers.
Keywords: Diabetic polyneuropathy, Michigan Neuropathy Screening Instruments, Semmes-Weinstein monofilament, plantar ulcer, diabetes mellitus, diabetic foot.
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