| Autor: |
Umnia, Mahgoub, Matthew J, Magee, Maryam, Heydari, Muaaz, Choudhary, Gabriel, Santamarina, Mara, Schenker, Ravi, Rajani, Guillermo E, Umpierrez, Maya, Fayfman, Howard H, Chang, Marcos C, Schechter |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of Diabetes and its Complications. 36:108283 |
| ISSN: |
1056-8727 |
| DOI: |
10.1016/j.jdiacomp.2022.108283 |
| Popis: |
There are limited data on post-hospital discharge clinic attendance rates and outcomes among patients with diabetic foot ulcers (DFUs).Retrospective study of patients hospitalized with a DFU from 2016 to 2019 in a large public hospital. We measured rates and predictors of clinic attendance with providers involved with DFU care within 30 days of hospital discharge ("30-day post-discharge clinic attendance"). Log-binomial regression was used to estimate risk ratios (RR) and 95 % confidence intervals (CI).Among 888 patients, 60.0 % were between 45 and 64 years old, 80.5 % were Black, and 24.1 % were uninsured. Overall, 478 (53.8 %) attended ≥1 30-day post-discharge clinic appointment. Initial hospital outcomes were associated with clinic attendance. For example, the RR of 30-day post-discharge clinic attendance was 1.39 (95%CI 1.19-1.61) among patients who underwent a major amputation compared to patients with DFUs without osteomyelitis and did not undergo an amputation during the initial hospitalization. Among 390 patients with known 12-month outcome, 71 (18.2 %) had a major amputation or died ≤12 months of hospital discharge.We found a low post-discharge clinic attendance and high post-discharge amputation and death rates among patients hospitalized with DFUs. Interventions to increase access to outpatient DFU care are needed and could prevent amputations. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect