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Evaluating the impact of an interdisciplinary integrated limb preservation service operating concurrently with a single-specialty service.
Bazikian, Sebouh; Pyun, Alyssa J; Zheng, Hanke; Padula, William; Khan, Tanzim; Ziegler, Kenneth; Shin, Laura; Magee, Gregory A; Rowe, Vincent L; Armstrong, David G.
Afiliação
  • Bazikian S; Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Pyun AJ; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Zheng H; Department of Pharmaceutical and Health Economics, Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences, University of Southern California, Los Angeles, California, USA.
  • Padula W; Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, California, USA.
  • Khan T; Department of Pharmaceutical and Health Economics, Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences, University of Southern California, Los Angeles, California, USA.
  • Ziegler K; Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, California, USA.
  • Shin L; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Magee GA; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Rowe VL; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Armstrong DG; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
J Foot Ankle Res ; 17(2): e12013, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38613833
ABSTRACT

BACKGROUND:

This study examined the efficacy of an interdisciplinary limb preservation service (LPS) in improving surgical outcomes for diabetic foot ulcer (DFU) patients compared to traditional care.

METHODS:

Data from January 1, 2017 to September 30, 2020 were retrospectively reviewed. An interdisciplinary LPS clinic began on August 1, 2018, coexisting with a preexisting single specialty service. Primary outcomes were major/minor amputation rates and ratios and hospital length of stay. Surgical endpoints pre- and post-LPS launch were compared.

RESULTS:

Among 976 procedures for 731 unique DFU patients, most were male (80.4%) and Hispanic (89.3%). Patient demographics were consistent before and after LPS initiation. Major amputation rates decreased by 45.5% (15.4%-8.4%, p = 0.001), with outpatient procedures increasing over 5-fold (3.3% pre-LPS to 18.7% post-LPS, p < 0.001). Hospital stay reduced from 10.1 to 8.5 days post-LPS (p < 0.001). The major to minor amputation ratio declined from 22.4% to 12.7%.

CONCLUSIONS:

The interdisciplinary LPS improved patient outcomes, marked by fewer major amputations and reduced hospital stays, suggesting the model's potential for broader application.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Lipopolissacarídeos / Pé Diabético Limite: Female / Humans / Male Idioma: En Revista: J Foot Ankle Res Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Lipopolissacarídeos / Pé Diabético Limite: Female / Humans / Male Idioma: En Revista: J Foot Ankle Res Ano de publicação: 2024 Tipo de documento: Article