Tags

Type your tag names separated by a space and hit enter

Influence of Patient Setting and Dedicated Limb Salvage Efforts on Outcomes in Charcot-Related Foot Ulcer.
Int J Low Extrem Wounds. 2019 Dec; 18(4):362-366.IJ

Abstract

Charcot neuroarthropathy is a devastating consequence of diabetes mellitus and peripheral neuropathy. Because of its rarity, the condition is often misdiagnosed or poorly managed. When misadventure occurs, patients with Charcot neuroarthropathy can suffer ulceration, infection, amputation, and death. When patients have Charcot-related foot ulcers, the risks are amplified. Utilizing advanced electronic medical record analysis, a 30-month investigation was undertaken to determine if patients with diabetes mellitus and a concomitant diagnosis of Charcot-related foot ulcer were at greater risk of complications because of location setting of initial treatment for their condition. Charcot foot-related ulcers that are diagnosed in the outpatient setting had established foot specialist care. The outpatient management of the condition lead to a significant reduction in the amount of admissions to a higher acuity setting. However, patient outcomes did not vary once established and dedicated limb salvage efforts were employed. In this large contemporary population managed in a tertiary health system, patients with Charcot-related foot ulcer had negative outcomes when they were initially treated in an inpatient setting and had a significantly greater likelihood of readmission as compared with individuals who had established focused limb salvage care.

Links

PMC Free PDF

Authors+Show Affiliations

Schmidt BM
University of Michigan, Ann Arbor, MI, USA.
Holmes CM
University of Michigan, Ann Arbor, MI, USA.

MeSH

Ambulatory CareAmputation, SurgicalArthropathy, NeurogenicDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Electronic Health RecordsFemaleFoot UlcerHumansLimb SalvageMaleMiddle AgedOutcome and Process Assessment, Health CarePatient Care ManagementPeripheral Nervous System DiseasesQuality ImprovementUnited States

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

31304814

Citation

Schmidt, Brian M., and Crystal M. Holmes. "Influence of Patient Setting and Dedicated Limb Salvage Efforts On Outcomes in Charcot-Related Foot Ulcer." The International Journal of Lower Extremity Wounds, vol. 18, no. 4, 2019, pp. 362-366.
Schmidt BM, Holmes CM. Influence of Patient Setting and Dedicated Limb Salvage Efforts on Outcomes in Charcot-Related Foot Ulcer. Int J Low Extrem Wounds. 2019;18(4):362-366.
Schmidt, B. M., & Holmes, C. M. (2019). Influence of Patient Setting and Dedicated Limb Salvage Efforts on Outcomes in Charcot-Related Foot Ulcer. The International Journal of Lower Extremity Wounds, 18(4), 362-366. https://doi.org/10.1177/1534734619861571
Schmidt BM, Holmes CM. Influence of Patient Setting and Dedicated Limb Salvage Efforts On Outcomes in Charcot-Related Foot Ulcer. Int J Low Extrem Wounds. 2019;18(4):362-366. PubMed PMID: 31304814.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of Patient Setting and Dedicated Limb Salvage Efforts on Outcomes in Charcot-Related Foot Ulcer. AU - Schmidt,Brian M, AU - Holmes,Crystal M, Y1 - 2019/07/15/ PY - 2019/7/16/pubmed PY - 2020/7/10/medline PY - 2019/7/16/entrez KW - Charcot foot KW - diabetic foot KW - limb salvage KW - ulcer SP - 362 EP - 366 JF - The international journal of lower extremity wounds JO - Int J Low Extrem Wounds VL - 18 IS - 4 N2 - Charcot neuroarthropathy is a devastating consequence of diabetes mellitus and peripheral neuropathy. Because of its rarity, the condition is often misdiagnosed or poorly managed. When misadventure occurs, patients with Charcot neuroarthropathy can suffer ulceration, infection, amputation, and death. When patients have Charcot-related foot ulcers, the risks are amplified. Utilizing advanced electronic medical record analysis, a 30-month investigation was undertaken to determine if patients with diabetes mellitus and a concomitant diagnosis of Charcot-related foot ulcer were at greater risk of complications because of location setting of initial treatment for their condition. Charcot foot-related ulcers that are diagnosed in the outpatient setting had established foot specialist care. The outpatient management of the condition lead to a significant reduction in the amount of admissions to a higher acuity setting. However, patient outcomes did not vary once established and dedicated limb salvage efforts were employed. In this large contemporary population managed in a tertiary health system, patients with Charcot-related foot ulcer had negative outcomes when they were initially treated in an inpatient setting and had a significantly greater likelihood of readmission as compared with individuals who had established focused limb salvage care. SN - 1552-6941 UR - https://www.unboundmedicine.com/medline/citation/31304814/Influence_of_Patient_Setting_and_Dedicated_Limb_Salvage_Efforts_on_Outcomes_in_Charcot_Related_Foot_Ulcer_ DB - PRIME DP - Unbound Medicine ER -