Laboratory and Pharmaceutical Data Associated With Hospital Readmission in Persons With Diabetic Foot Ulcers

Purpose: Diabetic foot ulcers (DFUs) are a leading cause of lower extremity amputations among persons with diabetes (PWD) and a common cause of hospitalizations. This study identified demographic characteristics, lab values, and comorbidities associated with 30-day and 90-day hospital readmission in persons with DFU. Methods: A retrospective chart review at our institution examined 397 patients with type 2 diabetes admitted with DFU between January 2014 and December 2018. Variables were analyzed using descriptive statistics, t-tests, and logistic regressions. Results: None of the studied demographic, laboratory (including Hemoglobin A1c) or comorbid diseases were associated with 30-day readmission in persons with DFU. Risk factors for 90-day readmission included discharge location to home with health care (OR: 2.62, 95% CI: 1.39, 4.95), anticoagulant use (OR: 2.36, 95% CI: 1.27, 4.39), and SQ insulin use (OR: 2.08, 95% CI: 1.20, 3.61). Conclusions: None of the variables examined were associated with 30-day readmission; however, potential predictors for 90-day readmission included anticoagulation or insulin use and discharge home with healthcare services. Future studies should devise interventions to improve transition of care in patients with DFU to further assess the role of medications and home health care as a potential predictor of 90-day hospital readmission.

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A study of effectiveness of topical recombinant human platelet derived growth factor for wound healing in patients with chronic diabetic foot ulcers at tertiary health care center

Medpusle International Journal of Surgery ◽

10.26611/1061028 ◽

2019 ◽

Vol 10 (2) ◽

pp. 62-64

Author(s):

Shirish Maskepatil ◽

◽

Sanjay Prabu Warad ◽

Keyword(s):

Health Care ◽

Wound Healing ◽

Growth Factor ◽

Diabetic Foot ◽

Human Platelet ◽

Care Center ◽

Platelet Derived Growth Factor ◽

Foot Ulcers ◽

Diabetic Foot Ulcers ◽

Health Care Center

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Risk of Complications with the Total Contact Cast in Diabetic Foot Disorders

Foot & Ankle Orthopaedics ◽

10.1177/2473011419s00362 ◽

2019 ◽

Vol 4 (4) ◽

pp. 2473011419S0036

Author(s):

Alexandria Riopelle ◽

Ryan LeDuc ◽

Michael S. Pinzur ◽

Adam P. Schiff

Keyword(s):

Diabetic Foot ◽

Chart Review ◽

Hemoglobin A1c ◽

Treatment Algorithm ◽

Retrospective Chart Review ◽

Foot Ulcers ◽

Diabetic Foot Ulcers ◽

Charcot Foot ◽

Total Contact Cast ◽

Definition Of

Category: Diabetes Introduction/Purpose: The total contact cast is an important component of the clinical treatment algorithm for diabetic foot ulcers and Charcot Foot Arthropathy. Few studies have reported on the complications associated with this treatment modality. Methods: Over a ten year period, 2265 total contact casts were placed on 384 patients during their treatment for diabetic foot disorders. All of the casts were applied by a Certified Orthopaedic Technologist under the supervision of a University Faculty member. Complications were grouped as: (1) development of a new ulcer or wound, (2) new or increasing odor or drainage, (3) wound infection, (4) gangrene, (5) newly identified osteomyelitis, and (6) pain or discomfort necessitating cast change / removal. Complications were then associated with Hemoglobin A1C levels at the time of treatment. Results: Using this very stringent definition of a complication, ten percent of patients had some form of a complication. Most complications resolved following cast change or cast removal. Conclusion: The total contact cast has been demonstrated to be a valuable tool in the treatment of diabetic foot disorders. This retrospective chart review should serve as a valuable reference to assist clinicians when counseling patients during treatment for diabetic foot disorders.

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Building Effective Partnerships Between Vascular Surgeons and Podiatric Physicians in the Effective Management of Diabetic Foot Ulcers

Journal of the American Podiatric Medical Association ◽

10.7547/15-062 ◽

2016 ◽

Vol 106 (4) ◽

pp. 308-311 ◽

Cited By ~ 2

Author(s):

Timothy Wu ◽

Rabih A. Chaer ◽

Nichol L. Salvo ◽

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Keyword(s):

Health Care ◽

Diabetic Foot ◽

Multidisciplinary Approach ◽

The United States ◽

Foot Ulcers ◽

Diabetic Foot Ulcers ◽

Effective Management ◽

Delivery Of Care ◽

Vulnerable Patient ◽

Vulnerable Patient Population

Both vascular surgeons and podiatric physicians care for patients with diabetic foot ulcerations (DFUs), one of today's most challenging health-care populations in the United States. The prevalence of DFUs has steadily increased, along with the rising costs associated with care. Because of the numerous comorbidities affecting these patients, it is necessary to take a multidisciplinary approach in the management of these patients. Such efforts, primarily led by podiatric physicians and vascular surgeons, have been shown to effectively decrease major limb loss. Establishing an interprofessional partnership between vascular surgery and podiatric medicine can lead to an improvement in the delivery of care and outcomes of this vulnerable patient population.

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