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The Changes of Trends in the Diagnosis and Treatment of Diabetic Foot Ulcer over a 10-Year Period: Single Center Study.
Kim, Choong Hee; Moon, Jun Sung; Chung, Seung Min; Kong, Eun Jung; Park, Chul Hyun; Yoon, Woo Sung; Kim, Tae Gon; Kim, Woong; Yoon, Ji Sung; Won, Kyu Chang; Lee, Hyoung Woo.
Afiliação
  • Kim CH; Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • Moon JS; Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • Chung SM; Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • Kong EJ; Department of Nuclear Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • Park CH; Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea.
  • Yoon WS; Division of Vascular Surgery, Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
  • Kim TG; Department of Plastic Surgery, Yeungnam University College of Medicine, Daegu, Korea.
  • Kim W; Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • Yoon JS; Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • Won KC; Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • Lee HW; Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. helee@ynu.ac.kr.
Diabetes Metab J ; 42(4): 308-319, 2018 Aug.
Article em En | MEDLINE | ID: mdl-29885115
ABSTRACT

BACKGROUND:

This study aims to describe the trends in the severity and treatment modality of patients with diabetic foot ulcer (DFU) at a single tertiary referral center in Korea over the last 10 years and compare the outcomes before and after the introduction of a multidisciplinary diabetic foot team.

METHODS:

In this retrospective observational study, electronic medical records of patients from years 2002 to 2015 at single tertiary referral center were reviewed. Based on the year of first admission, patients were assigned to a group either before or after the year 2012, the year the diabetes team launched.

RESULTS:

Of the 338 patients with DFU, 229 were first admitted until the year 2011 (group A), while 109 were first admitted since the year 2012 (group B). Mean age was higher in group B, and ulcer size was larger than those of group A. Whereas duration of diabetes was longer in group B, glycemic control was improved (mean glycosylated hemoglobin, 9.48% vs. 8.50%). The proportion of minor lower extremity amputation (LEA) was increased, but length of hospital stay was decreased (73.7±79.6 days vs. 39.8±36.9 days). As critical ischemic limb increased, the proportion of major LEA was not decreased.

CONCLUSION:

Improved glycemic control, multidisciplinary strategies with prompt surgical treatment resulted in reduced length of hospital stay, but these measures did not reduce major LEAs. The increase in critical ischemic limb may have played a role in the unexpected outcome, and may suggest the need for increased vascular intervention strategies in DFU treatment.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Observational_studies Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Observational_studies Idioma: En Ano de publicação: 2018 Tipo de documento: Article