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Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience()
AIMS: The aims of this study were to evaluate the outcomes of treatment among hospitalized patients with diabetic foot ulcers, the risk factors for non-healing ulcers, and the rate of major amputation among Thai patients. METHODS: A retrospective study of hospitalized diabetic foot patients treated...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685051/ https://www.ncbi.nlm.nih.gov/pubmed/29159100 http://dx.doi.org/10.1016/j.jcte.2014.10.002 |
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author | Thewjitcharoen, Yotsapon Krittiyawong, Sirinate Porramatikul, Sriurai Parksook, Wyn Chatapat, Lapakorn Watchareejirachot, Orawan Sripatpong, Jeeraphan Himathongkam, Thep |
author_facet | Thewjitcharoen, Yotsapon Krittiyawong, Sirinate Porramatikul, Sriurai Parksook, Wyn Chatapat, Lapakorn Watchareejirachot, Orawan Sripatpong, Jeeraphan Himathongkam, Thep |
author_sort | Thewjitcharoen, Yotsapon |
collection | PubMed |
description | AIMS: The aims of this study were to evaluate the outcomes of treatment among hospitalized patients with diabetic foot ulcers, the risk factors for non-healing ulcers, and the rate of major amputation among Thai patients. METHODS: A retrospective study of hospitalized diabetic foot patients treated at Theptarin Hospital during the period of 2009–2013. The complete healing rate was assessed at 12 months after admission. RESULTS: During the study period, 232 patients (123 males and 109 females) with 262 admissions were included (mean age 65.6 ± 11.9 years, mean duration of diabetes 17.2 ± 9.9 years) with a mean follow-up of 17.5 ± 16.7 months. Major amputations were performed in 4.2% of the patients and peripheral vascular disease (PVD) was a predictive factor (OR 5.25; 95% CI [1.43–19.29]; p-value 0.006). Complete healing (including minor amputations) was achieved in 82.1% of the admissions. Only DFU of the heel was a statistically significant (OR 3.34; 95% CI [1.11–10.24]; p-value 0.041) predictor of non-healing ulcers. Three patients (1.1%) died during hospitalization. CONCLUSIONS: Management of diabetes-related foot ulcers with a multidisciplinary approach resulted in a limb salvage rate that was greater than 90% and a complete healing rate that was greater than 80%. Successful management of diabetic foot ulcers might be possible in Thailand utilizing this approach. |
format | Online Article Text |
id | pubmed-5685051 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56850512017-11-20 Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience() Thewjitcharoen, Yotsapon Krittiyawong, Sirinate Porramatikul, Sriurai Parksook, Wyn Chatapat, Lapakorn Watchareejirachot, Orawan Sripatpong, Jeeraphan Himathongkam, Thep J Clin Transl Endocrinol Research Paper AIMS: The aims of this study were to evaluate the outcomes of treatment among hospitalized patients with diabetic foot ulcers, the risk factors for non-healing ulcers, and the rate of major amputation among Thai patients. METHODS: A retrospective study of hospitalized diabetic foot patients treated at Theptarin Hospital during the period of 2009–2013. The complete healing rate was assessed at 12 months after admission. RESULTS: During the study period, 232 patients (123 males and 109 females) with 262 admissions were included (mean age 65.6 ± 11.9 years, mean duration of diabetes 17.2 ± 9.9 years) with a mean follow-up of 17.5 ± 16.7 months. Major amputations were performed in 4.2% of the patients and peripheral vascular disease (PVD) was a predictive factor (OR 5.25; 95% CI [1.43–19.29]; p-value 0.006). Complete healing (including minor amputations) was achieved in 82.1% of the admissions. Only DFU of the heel was a statistically significant (OR 3.34; 95% CI [1.11–10.24]; p-value 0.041) predictor of non-healing ulcers. Three patients (1.1%) died during hospitalization. CONCLUSIONS: Management of diabetes-related foot ulcers with a multidisciplinary approach resulted in a limb salvage rate that was greater than 90% and a complete healing rate that was greater than 80%. Successful management of diabetic foot ulcers might be possible in Thailand utilizing this approach. Elsevier 2014-10-15 /pmc/articles/PMC5685051/ /pubmed/29159100 http://dx.doi.org/10.1016/j.jcte.2014.10.002 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Research Paper Thewjitcharoen, Yotsapon Krittiyawong, Sirinate Porramatikul, Sriurai Parksook, Wyn Chatapat, Lapakorn Watchareejirachot, Orawan Sripatpong, Jeeraphan Himathongkam, Thep Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience() |
title | Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience() |
title_full | Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience() |
title_fullStr | Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience() |
title_full_unstemmed | Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience() |
title_short | Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience() |
title_sort | outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: thailand's experience() |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685051/ https://www.ncbi.nlm.nih.gov/pubmed/29159100 http://dx.doi.org/10.1016/j.jcte.2014.10.002 |
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