Treatment of Diabetic Foot

2018 ◽  
Author(s):  
Anil Hingorani
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Intensive Care ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Acute Care Surgery ◽  
Surgical Practice ◽  
Care Surgery

The diabetic foot is a commonly encountered problem in surgical practice. Since treatment of the diabetic foot is quite complex, its management can mandate a multidisciplinary approach, including vascular surgery, acute care surgery, intensive care, podiatry, internal medicine, endocrinology, infectious disease, nursing, case management, and social work. This review highlights some of the details of the management of the diabetic foot from such an approach. This review contains 1 figure and 21 referencesKey words: diabetic foot ulcer, infection, ischemia, off-loading, revascularization

Treatment of Diabetic Foot

2018 ◽  
Author(s):  
Anil Hingorani
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Intensive Care ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Acute Care Surgery ◽  
Surgical Practice ◽  
Care Surgery

The diabetic foot is a commonly encountered problem in surgical practice. Since treatment of the diabetic foot is quite complex, its management can mandate a multidisciplinary approach, including vascular surgery, acute care surgery, intensive care, podiatry, internal medicine, endocrinology, infectious disease, nursing, case management, and social work. This review highlights some of the details of the management of the diabetic foot from such an approach. This review contains 1 figure and 21 referencesKey words: diabetic foot ulcer, infection, ischemia, off-loading, revascularization

Diagnosis of Diabetic Foot

2018 ◽  
Author(s):  
Anil Hingorani
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Intensive Care ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Acute Care Surgery ◽  
Surgical Practice ◽  
Care Surgery

The diabetic foot is a commonly encountered problem in surgical practice. Since treatment of the diabetic foot is quite complex, its management can mandate a multidisciplinary approach, including vascular surgery, acute care surgery, intensive care, podiatry, internal medicine, endocrinology, infectious disease, nursing, case management, and social work. This review highlights some of the details of the diagnosis of the diabetic foot from such an approach.   This review contains 10 figures and 30 references Key words: diabetic foot ulcer, infection, ischemia, off-loading, revascularization  

Diagnosis of Diabetic Foot

2018 ◽  
Author(s):  
Anil Hingorani
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Intensive Care ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Acute Care Surgery ◽  
Surgical Practice ◽  
Care Surgery

The diabetic foot is a commonly encountered problem in surgical practice. Since treatment of the diabetic foot is quite complex, its management can mandate a multidisciplinary approach, including vascular surgery, acute care surgery, intensive care, podiatry, internal medicine, endocrinology, infectious disease, nursing, case management, and social work. This review highlights some of the details of the diagnosis of the diabetic foot from such an approach.   This review contains 10 figures and 30 references Key words: diabetic foot ulcer, infection, ischemia, off-loading, revascularization  

Diagnosis of Diabetic Foot

2018 ◽  
Author(s):  
Anil Hingorani
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Intensive Care ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Acute Care Surgery ◽  
Surgical Practice ◽  
Care Surgery

The diabetic foot is a commonly encountered problem in surgical practice. Since treatment of the diabetic foot is quite complex, its management can mandate a multidisciplinary approach, including vascular surgery, acute care surgery, intensive care, podiatry, internal medicine, endocrinology, infectious disease, nursing, case management, and social work. This review highlights some of the details of the diagnosis of the diabetic foot from such an approach.   This review contains 10 figures and 30 references Key words: diabetic foot ulcer, infection, ischemia, off-loading, revascularization  

Treatment of Diabetic Foot

2018 ◽  
Author(s):  
Anil Hingorani
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Intensive Care ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Acute Care Surgery ◽  
Surgical Practice ◽  
Care Surgery

The diabetic foot is a commonly encountered problem in surgical practice. Since treatment of the diabetic foot is quite complex, its management can mandate a multidisciplinary approach, including vascular surgery, acute care surgery, intensive care, podiatry, internal medicine, endocrinology, infectious disease, nursing, case management, and social work. This review highlights some of the details of the management of the diabetic foot from such an approach. This review contains 1 figure and 21 referencesKey words: diabetic foot ulcer, infection, ischemia, off-loading, revascularization

scholarly journals Experiences of nurses within a nurse-led multidisciplinary approach in providing care for patients with diabetic foot ulcer

2020 ◽  
Vol 9 (6) ◽  
pp. 3136
Author(s):  
Nasrin Samadi ◽  
NahidDehghan Nayeri ◽  
Nasrin Mehrnoush ◽  
Irandokht Allahyari ◽  
Fatemeh Bezaatpour ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer

The economic burden of inpatient diabetic foot ulcers in Toronto, Canada

Vascular ◽  
2020 ◽  
Vol 28 (5) ◽  
pp. 520-529
Author(s):  
Muzammil H Syed ◽  
Konrad Salata ◽  
Mohamad A Hussain ◽  
Abdelrahman Zamzam ◽  
Charles de Mestral ◽  
...  
Keyword(s):  
Internal Medicine ◽  
General Internal Medicine ◽  
Economic Burden ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
General Internal ◽  
Costs Of Care ◽  
Mean Cost ◽  
Diabetes Patients

Objective Diabetic foot ulcer, which often leads to lower limb amputation, is a devastating complication of diabetes that is a major burden on patients and the healthcare system. The main objective of this study is to determine the economic burden of diabetic foot ulcer-related care. Methods We conducted a multicenter study of all diabetic foot ulcer patients admitted to general internal medicine wards at seven hospitals in the Greater Toronto Area, Canada from 2010 to 2015, using the GEMINI database. We compared the mean costs of care per patient for diabetic foot ulcer-related admissions, admissions for other diabetes-related complications, and admissions for the top five most costly general internal medicine conditions, using the Ontario Case Costing Initiative. Regression models were used to determine adjusted estimates of cost per patient. Propensity-score matched analyses were performed as sensitivity analyses. Results Our study cohort comprised of 557 diabetic foot ulcer patients; 2939 non-diabetic foot ulcer diabetes patients; and 23,656 patients with the top 5 most costly general internal medicine conditions. Diabetic foot ulcer admissions incurred the highest mean cost per patient ($22,754) when compared to admissions with non-diabetic foot ulcer diabetes ($8,350) and the top five most costly conditions ($10,169). Using adjusted linear regression, diabetic foot ulcer admissions demonstrated a 49.6% greater mean cost of care than non-diabetic foot ulcer-related diabetes admissions (95% CI 1.14–1.58), and a 25.6% greater mean cost than the top five most costly conditions (95% CI 1.17–1.34). Propensity-scored matched analyses confirmed these results. Conclusion Diabetic foot ulcer patients incur significantly higher costs of care when compared to admissions with non-diabetic foot ulcer-related diabetes patients, and the top five most costly general internal medicine conditions.

Treatment of Diabetic Foot Infections

2020 ◽  
Author(s):  
Shimpo Aoki ◽  
Lauren R Bayer ◽  
Dennis P Orgill
Keyword(s):  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
New Technologies ◽  
Wound Care ◽  
Full Range ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Diabetic Patients ◽  
Diabetic Foot Infections ◽  
Biomechanical Changes

Thirteen percent of diabetic patients will develop a foot ulcer, often associated with infection, vascular disease and biomechanical changes. Limb salvage offers the potential to restore function but does not correct the underlying metabolic disturbance. We review the surgical approach to diabetic foot infections including debridement, skin grafts, local flaps and a variety of new technologies. A comprehensive multidisciplinary approach is beneficial to optimize outcomes. The full range of reconstructive options available to plastic surgeons may be used in the treatment of diabetic foot ulcers. This review has 5 figures, 2 tables, and 20 references. Key words: Diabetic Foot Infection (DFI), Diabetic Foot Ulcer (DFU), Diabetes Mellitus (DM), wound care, foot infection, bacterial infection, surgical management, neuropathy, surgery of the lower extremity, deformities

scholarly journals Clinical utility of diabetic ulcer severity score in surgical practice

2019 ◽  
Vol 6 (7) ◽  
pp. 2469
Author(s):  
Jose V. Francisco Menezes ◽  
Sreenidhi G. M. ◽  
Satya Vani K.
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Major Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Clinical Tool ◽  
Aggressive Approach ◽  
Diabetic Ulcer ◽  
Surgical Practice

Background: In surgical practice we come across many diabetic foot ulcer patients who often present late, leading to limb loss and even death. In the search for an effective screening tool to assess the severity of the disease and predict the outcome we have adopted the DUSS.Methods: Prospective study from October 2016 to April 2018 including 200 patients with diabetic foot ulcers conducted at Surgery Department in KIMS, Bangalore. DUSS was applied at the time of admission. DUSS comprises 4 clinical parameters: 1) pedal pulses, 2) probing to bone, 3) ulcer site and 4) ulcer number. These wounds were graded into score 0, 1, 2, 3, 4. Standard management was given to all patients according to a protocol. The outcome of treatment was recorded as healed ulcer, minor amputations, (toe or forefoot) or major amputations (below or above knee). Co-relation between the DUSS scores and final outcome was done.Results: Healing rates were higher in those with lower DUSS scores (88.9% in score 0 compared to 0% in Score 4). Minor amputation rates for scores 0, 1, 2,3 were 11.1%, 30.5%,28.3% and 44.1% respectively. Major Amputation rates were higher in patients with high DUSS scores i.e. 3 (41.8%) and 4 (100%).Conclusions: DUSS is an effective clinical tool to assess the severity of diabetic foot ulcers. DUSS scores help in predicting the outcome of treatment hence it can be used to counsel the patient regarding the disease and its prognosis. Patients with higher DUSS scores should require a more aggressive approach to minimise morbidity and mortality.

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