Wound healing outcomes in a diabetic foot ulcer outpatient clinic at an acute care hospital: a retrospective study.
J Wound Care
; 26(Sup10): S4-S11, 2017 10 01.
Article
in En
| MEDLINE
| ID: mdl-28976832
ABSTRACT
OBJECTIVE:
Patients with diabetic foot ulcers (DFU) have an increased risk of lower extremity amputation. A retrospective chart review of patients with DFUs attending the Foot Treatment and Assessment chiropodist-led outpatient clinic at an inner-city academic hospital was conducted to determine wound healing outcomes and characteristics contributing to outcomes.METHOD:
We reviewed the complete clinical history of 279 patients with 332 DFUs spanning over a five-year period.RESULTS:
The mean age of patients was 61.5±12.5 years and most patients (83.5%) had one DFU. The majority of wounds (82.5%) were in the forefoot. Overall, 267/332 (80.5%) wounds healed. A greater proportion of wounds healed in the forefoot (82.5%) and midfoot (87.1%) than hindfoot (51.9%; p<0.001). Using a logistic regression model, palpable pedal pulse and use of a total contact cast were associated with better wound healing.CONCLUSION:
Our findings are the first to demonstrate the benefits of chiropodists leading an acute care outpatient clinic in the management of DFUs in Canada and delivers wound healing outcomes equivalent to or exceeding those previously published.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Diabetic Foot
/
Diabetes Mellitus, Type 1
/
Diabetes Mellitus, Type 2
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Wound Care
Journal subject:
ENFERMAGEM
Year:
2017
Document type:
Article
Affiliation country:
Canadá