Resumen de Dictamen de invalidez por complicaciones de diabetes mellitus tipo 2

Alma R Murillo Villicaña, Jorge L Vanegas Rojas, Carlos Gómez Alonso, Paula Chacón Valladares

• español

  Objetivo: analizar las características de expedientes con dictamen de invalidez por complicaciones de diabetes mellitus tipo 2 (dm2) en la delegación Michoacán del Instituto Mexicano del Seguro Social (imss). Métodos: estudio transversal, se realizó un muestreo no aleatorio por conveniencia, se analizaron 98 expedientes de la Coordinación de Salud en el Trabajo con dictamen de invalidez por complicaciones asociadas a dm2 en unidades de medicina familiar. Se estudiaron complicaciones de dm2, dictamen, control metabólico y manejo multidisciplinario. Resultados: se emitieron 61 dictámenes por invalidez definitiva (62.24%) y 37 por invalidez temporal (37.76%); 10 correspondieron a mujeres (10.2%) y 88, a hombres (89.8%). Las causas de invalidez fueron: retinopatía 44 (41.9%), nefropatía 21 (21.4%) y alteraciones circulatorias 15 (15.3%). Las variables paraclínicas reportadas fueron: glucosa 186.25 ±26.99, no se solicitó HbA1c en 91 pacientes (92.9%); hubo ajuste de tratamiento en 72 (73.5%) y no tuvieron derivación a otros servicios o especialidades 64 (65.30%). Conclusiones: las principales causas de invalidez fueron retinopatía y nefropatía. Se requiere dar un seguimiento integral a los pacientes con dm2 a fin de evitar complicaciones que impacten de manera negativa en su salud.

• English

  Objective: to analyze the characteristics of records with disability opinion due to complications of diabetes mellitus type 2 (dm2) in the Delegation of the Mexican Social Security Institute (imss) in Michoacán. Methods: cross-sectional study, not-randomized sampling by convenience, 98 records from the Coordination of Health in the working area with opinion of invalidity were analyzed by complications associated to dm2 in Family Medicine units. Complications of dm2, opinion, metabolic control, and multidisciplinary management were studied. Results: 61 opinions were issued for permanent invalidity (62.24%) and 37 temporary invalidity (37.76%); 10 corresponded to women (10.2%) and 88 to men (89.8%). The causes of invalidity were: retinopathy 44 (41.9%), kidney disease 21 (21.4%) and circulatory alterations 15 (15.3%). The reported clinical variables were: glucose 186.25 ±26. 99, HbA1c was not requested in 91 patients (92.9%); there was an adjustment in treatment in 72 (73.5%) and 64 (65.30%) had no referral to other services or specialties. Conclusions: the leading causes of disability were retinopathy and nephropathy. It is required to give a comprehensive follow-up to patients with dm2 in order to avoid complications that may negatively impact on their health.