Back to Search
Start Over
Effect of a multidisciplinary team approach on the management of diabetic foot ulcers on the Central Coast: A review of the Gosford Hospital High‐Risk Foot Clinic.
- Source :
- International Wound Journal; Feb2024, Vol. 21 Issue 2, p1-12, 12p
- Publication Year :
- 2024
-
Abstract
- This retrospective cohort study aims to assess whether the implementation of a multidisciplinary approach in the Gosford Hospital High‐Risk Foot Clinic improved outcomes of diabetic foot ulcers. Ulceration is a common foot complication of diabetes mellitus and greatly increases patient morbidity and mortality. Patients who attended at least one appointment at the Gosford Hospital High‐Risk Foot Clinic in 2017 or 2019 were identified through the Gosford Hospital Podiatry department's records. The 2017 and 2019 cohorts were compared on measures of ulcer healing, incidence of amputation, incidence of vascular intervention and surgical debridement, percentage of patients admitted to hospital due to complications and use of systemic antibiotic therapy. Sixty‐one patients in 2017 and 59 patients in 2019 met inclusion criteria, and from them, 207 ulcers were included. Between 2017 and 2019, there was a 6.2‐week reduction in time to 100% ulcer healing in 2019 (p = 0.021), and 10.1% more ulcers healed within 52 weeks (p = 0.22, 95% confidence interval [CI] [−5.9%, 25.5%]). Whilst there was no significant difference in incidence of patients receiving amputation, there was an increased absolute number of amputations in 2019. Implementation of a multidisciplinary approach at the Gosford Hospital High‐Risk Foot Clinic led to improvements in diabetic foot ulcer healing. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIABETES complications
TREATMENT of diabetic foot
ANTIBIOTICS
EVALUATION of medical care
WOUND healing
CONFIDENCE intervals
DEBRIDEMENT
RETROSPECTIVE studies
ACQUISITION of data
FISHER exact test
DISEASE incidence
TREATMENT effectiveness
COMPARATIVE studies
VASCULAR surgery
MEDICAL records
DESCRIPTIVE statistics
CHI-squared test
HOSPITAL care
ELECTRONIC health records
DATA analysis software
AMPUTATION
DISEASE management
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 17424801
- Volume :
- 21
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- International Wound Journal
- Publication Type :
- Academic Journal
- Accession number :
- 175670034
- Full Text :
- https://doi.org/10.1111/iwj.14570