Journal article
Benchmark Analysis on Diabetics at High Risk For Lower Extremity Amputation
Foot & ankle international, Vol.17(11), pp.695-700
11/1996
DOI: 10.1177/107110079601701109
PMID: 8946185
Abstract
After the 1990 establishment of a multidisciplinary foot salvage clinic, 1346 diabetic patients, at high risk for the development of foot ulcers and eventual lower limb amputation, were followed for 4 years. Of the 224 high-risk patients admitted to the hospital, 74 amputations (5.5%) of all or part of a lower limb were performed. Patients undergoing amputation were younger, more severely ill, and required more frequent hospitalizations because of greater organ system involvement. They were also more likely to be institutionalized after discharge. Overall, patients with long-standing adult-onset diabetes, identified as at high risk for foot ulcer development, have a substantially increased risk for lower limb amputation, multiple organ system failure, hospitalization, and institutionalization than do diabetic patients as a whole. Clinical benchmarking facilitates the identification and reduction of unnecessary variations in patient care practices. Here, a formal benchmark analysis provides the current outcome expectations for amputation rates and co-morbidities in patients with diabetes who are classified as at high risk for lower extremity amputation. Management of these patients in a structured, multidisciplinary foot salvage clinic, augmentation of baseline services, and preliminary benchmark data may provide a standard for the measurement of therapeutic interventions that improve patient care.
Details
- Title: Subtitle
- Benchmark Analysis on Diabetics at High Risk For Lower Extremity Amputation
- Creators
- Michael S Pinzur - From The Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153Rodney Stuck - From The Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153Ronald Sage - From The Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153Lisa Pocius - From The Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153Bryan Trout - From The Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153Brian Wolf - From The Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153Lori Vrbos - From The Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153
- Resource Type
- Journal article
- Publication Details
- Foot & ankle international, Vol.17(11), pp.695-700
- Publisher
- SAGE Publications; Los Angeles, CA
- DOI
- 10.1177/107110079601701109
- PMID
- 8946185
- ISSN
- 1071-1007
- eISSN
- 1944-7876
- Language
- English
- Date published
- 11/1996
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984040457102771
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