| Autor: |
Dragoi II; Department of Vascular Surgery and Reconstructive Microsurgery, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania., Popescu FG; Discipline of Occupational Health, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania., Bowling FL; Department of Vascular Surgery and Reconstructive Microsurgery, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania.; Department of Surgery & Translational Medicine, Faculty of Medical and Human Sciences, University of Manchester, Oxford Rd., Manchester M13 9PL, UK., Bondor CI; Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy 'Iuliu Hațieganu', 8 Victor Babeș, 400000 Cluj-Napoca, Romania., Ionac M; Department of Vascular Surgery and Reconstructive Microsurgery, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania. |
| Abstrakt: |
Diabetic foot ulcer non-reimbursed treatment depends on multiple factors, including the patient's buying behaviors. Factors affecting buying behaviors for the removable off-loading devices are not completely understood. The aim of this study was to investigate the patients' buying behaviors of the removable off-loading devices and their influence on the DFU treatment outcomes remotely monitored during the COVID-19 pandemic. In this prospective observational study, 45 patients affected by diabetic peripheral neuropathy, with/without peripheral arterial disease, with foot ulcers treated with removable devices were remotely monitored. Prefabricated removable cast walkers, insoles, and therapeutic footwear were the proposed off-loading methods. Patients affected by high blood pressure ( p = 0.018), peripheral arterial disease ( p = 0.029), past amputations ( p = 0.018), and ulcer on the left foot ( p = 0.007) bought removable cast walkers. Rural provenience ( p = 0.011) and male ( p = 0.034) did not buy a removable walker. The healing rate was 69.4%, while the median healing time was 20 weeks. High blood pressure negatively influenced healing time ( p = 0.020). Patients who bought the most efficient treatment method for DFUs were females from urban provenience, with amputation in the past, with peripheral arterial disease, and with high blood pressure. |
