Transformation of the Multidisciplinary Diabetic Foot Clinic Into a Multidisciplinary Diabetic Foot Day Unit
| العنوان: | Transformation of the Multidisciplinary Diabetic Foot Clinic Into a Multidisciplinary Diabetic Foot Day Unit |
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| المؤلفون: | Venu Kavarthapu, Naveen Cavale, Maureen Bates, Chris Manu, Omar G Mustafa, Michael Edmonds, Gill Vivian, Colin Deane, Dean Y. Huang, David Elias, Hisham Rashid, Nicola Mulholland |
| المصدر: | The International Journal of Lower Extremity Wounds. 13:173-179 |
| بيانات النشر: | SAGE Publications, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Ambulatory Care Facilities, Appointments and Schedules, Young Adult, Patient satisfaction, Multidisciplinary approach, medicine, Humans, Aged, Retrospective Studies, Aged, 80 and over, Patient Care Team, business.industry, General surgery, General Medicine, Middle Aged, medicine.disease, Diabetic foot, Diabetic Foot, Natural history, Total contact casting, Cross-Sectional Studies, Intravenous antibiotics, Physical therapy, Female, Surgery, business, Foot (unit) |
| الوصف: | The natural history of the diabetic foot is aggressive and complex. To counteract this, we describe the transformation of a Multidisciplinary Diabetic Foot Clinic into a Multidisciplinary Diabetic Foot Day Unit, which delivers an emergency open access system for patients, with a “one-stop,” same day service in which investigations are performed, results reviewed and treatment implemented. It also provides joint clinics with vascular, orthopaedic, and plastic surgeons and specialized clinics for casting of complex neuropathic feet and for the administration of intravenous or intramuscular antibiotics on the same day. The aim was to document these increasingly wide-ranging facilities by undertaking a retrospective evaluation over a 6-week period, with analysis of notes, investigations, and an anonymous patient satisfaction survey. The clinic was visited by 597 patients who attended in 1076 appointments, of which 112 (10.4%) were emergency visits; these patients attended the clinic without a booked appointment but via an open access policy, 93 of whom were known to the clinic, but 19 were new self-referred patients to the service. Furthermore, 197 (18%) were seen in a Joint Vascular Diabetic Foot Clinic and 98 (9%) were seen in a Joint Orthopaedic Plastic Diabetic Foot Clinic, 570 (53%) were seen in an Active Ulcer Clinic and 97 (9%) in a Total Contact Casting Clinic. Forty-five percent of patients were prescribed antibiotics, including 188 (76%) as oral and 45(18%) as intravenous antibiotics and 15(6%) as intramuscular injections. Of the 1076 appointments, 150 (14%) patients were in the foot clinic for more than 4 hours. Sixty (10%) patients were reviewed 4 or more times over the 6-week period. Only 22 (2%) were admitted to hospital. Of the 125 survey responders, 98% were satisfied with this service, which has evolved from a Diabetic Foot Clinic into a Multidisciplinary Diabetic Foot Day Unit. |
| تدمد: | 1552-6941 1534-7346 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c4ac0ce77b2dc4edf13a195f72f061f7 https://doi.org/10.1177/1534734614545877 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....c4ac0ce77b2dc4edf13a195f72f061f7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15526941 15347346 |
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