An internet‐based algorithm for diabetic foot infection during the COVID‐19 pandemic

Liu, Chao; Shi, Wei; You, Jiaxing; Li, Hongye; Lin, Li

doi:10.1186/s13047-020-00405-z

Cited by 11 publications

(32 citation statements)

References 4 publications

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“…Recently, integration of virtual care and EMR technologies (STRIDE protocol) has been shown to help in rapid triage, effective delivery of foot care, and limb salvage [ 22 ]. Another internet-based algorithm and online consultation service by instant messaging has been proposed as a feasible option for grading of the wound, risk categorization and modulation of home-care [ 26 ]. A further modality for the effective management of patients with active DFU during pandemic time is through fast-track pathway (FTP) classification [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Virtual triage and outcomes of diabetic foot complications during Covid-19 pandemic: A retro-prospective, observational cohort study

Rastogi

Jude

2021

PLoS ONE

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Aims Limb and patient outcomes in people with diabetic foot complications including diabetic foot ulcer (DFU) provided virtual triage and personalized video consultations during COVID-19 pandemic are not known. Methods Patients with foot complications attending the diabetic foot clinic prior to lockdown who sought teleconsultations during COVID-19 lockdown underwent virtual triage to include clinical history, visual inspection of feet, domiciliary wound care (community nurse assisted dressings) and offloading instructions. The subsequent ulcer, limb and mortality outcomes during the following 24 weeks of COVID-19 lockdown (April-September 2020, group 1) were assessed and compared with those who attended foot clinic during the same period in 2019 (April-September, group 2). Results Group 1 included 561 participants with foot complications provided with teleconsultations, median age 57 (51 to 63) years and diabetes duration of 10 (5 to 16) years. Twelve patients with severe DFU were excluded and 549 patients [357 (65%) neuropathic foot, 104 (18.9%) ischemic foot and 88 (16%) chronic Charcot foot with deformities] were evaluated. There were 227 (41.3%) participants with active DFU at start of lockdown, 32 (5.8%) with new onset ulcer during lockdown (47.1%) and 290 patients without ulcers. Group 2 included 650 participants; active foot ulcer was present in 366 patients. Wound closed or reduced in area in 78.4% of participants of group 1 compared to 76.0% (p = 0.318) in group 2. Fourteen (5.4%) patients required amputations [3 major and 11 minor] in group 1 during the study period compared to 6.8% in group 2 (p = 0.191). Twenty-one (3.8%) and 28 (4.3%) patients died (p = 0.532) during 24 weeks of follow up in group 1 and 2, respectively. Conclusions Targeted foot-care service through virtual triage and teleconsultations during COVID-19 pandemic for people with foot complications have similar ulcer and limb outcomes compared to face-to-face foot care delivery.

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Section: Discussionmentioning

confidence: 99%

Virtual triage and outcomes of diabetic foot complications during Covid-19 pandemic: A retro-prospective, observational cohort study

Rastogi

Jude

2021

PLoS ONE

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“…4,9,10 A multidisciplinary team in Zhejiang, China, developed an internet-based programme to manage people with DFU which included regular instant messaging and remote consultations. 11 A report from Italy, from a region which experienced severe impacts from COVID-19, including strict lockdown and significant interruption to outpatient services, described a marked increase in gangrene and amputations amongst patients hospitalised for DFU, highlighting the risk to patients with DFU from interruptions to usual podiatry and IHRF care. 5 The present study has several limitations.…”

Section: Discussionmentioning

confidence: 99%

Management of diabetes‐related foot disease in the outpatient setting during the COVID‐19 pandemic

Pang

Shah

Manning

et al. 2021

Internal Medicine Journal

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The use of telephone and/or video consultation in routine management of acute diabetes-related foot disease (DFD) before the coronavirus disease 2019 (COVID-19) pandemic at a tertiary hospital is unprecedented. In March 2020, the Diabetes Feet Australia (DFA) released a national guideline to inform DFD management during the COVID-19 pandemic. The present study aimed to describe the adherence to the DFA guideline of managing acute DFD using telephone and/or video consultation at a Western Australian tertiary hospital during this period. We found >80% adherence rate to the DFA guideline and the management of active DFD using telephone and/or video consultations was feasible and acceptable in carefully selected patients.Coronavirus disease 2019 (COVID-19) is a highly infectious disease with symptoms ranging from fever and sore throat to severe respiratory illness. 1 COVID-19 was first confirmed in Australia in late January 2020, and by January 2021 there have been >28 000 reported cases and >900 deaths. 2 The pandemic has led to significant stress on hospital systems worldwide and delays to acute hospital care for people with diabetes and diabetes-related complications. 3,4 People with diabetes are at higher risk of COVID-19 and its complications. [3][4][5]

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“…Com triagens e estratificação de risco, os países que adotaram a telemedicina consideraram que o paciente grave deveria receber atendimento hospitalar; em casos moderados, em clínicas ambulatoriais ou consultórios; e em casos de baixo risco, atendimentos domiciliares ou por telemedicina após uma primeira avaliação (BOULTON, 7 ISSN: 2318-0234 2021;RATLIFF et al, 2020;OROPALLO et al, 2021;LIU et al, 2020b;MELONI et al, 2020). Por meio das avaliações virtuais, realizou-se a educação em saúde dos pacientes, com o objetivo de ofertar maior autonomia no cuidado, como monitoramento de glicose, apoio à saúde mental, auxílio na troca de curativos e limpeza da ferida.…”

Section: Resultsunclassified

“…Por meio das avaliações virtuais, realizou-se a educação em saúde dos pacientes, com o objetivo de ofertar maior autonomia no cuidado, como monitoramento de glicose, apoio à saúde mental, auxílio na troca de curativos e limpeza da ferida. Todo esse cuidado domiciliar pode ser monitorado por meio de fotos e vídeos das feridas em diversos ângulos, a cada troca de curativos para acompanhamento do processo de cicatrização ou possíveis agravos (LIU et al, 2020b;MELONI et al, 2020).…”

Section: Resultsunclassified

“…Embora a telessaúde minimize a exposição dessa população de risco à COVID-19, deve considerar que nem todos os pacientes possuem experiência e domínio das tecnologias de comunicação, necessitando do amparo de familiares ou de agentes comunitários em casos de idosos sem amparo parental (LIU et al, 2020b;MELONI et al, 2020). Dessa forma, para que essa tecnologia seja benéfica e atinja seus objetivos, deve-se considerar todo contexto social, econômico, domínio tecnológico, acesso à internet e a elegibilidade do paciente que será por esta assistido.…”

Section: Resultsunclassified

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Desafios Do Cuidado Ao Pé Diabético No Cenário Da Pandemia De Covid-19: Reflexões

Alves¹,

BALCONI²,

BALCONI³

et al. 2021

Anais Da VII Jornada Internacional De Enfermagem, Edição 2021

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O presente estudo objetiva refletir acerca do cuidado e dos desafios para com pessoas com pé diabético no cenário da pandemia de COVID-19, as complicações e agravos diante da dificuldade de acesso aos serviços de saúde e a função da enfermagem nesse contexto. Trata-se de um estudo descritivo, teórico-reflexivo, a partir da análise de estudos disponíveis na Biblioteca Virtual de Saúde. Os resultados revelam que estratégias como telemedicina, incentivo ao auto exame dos pés e cuidados regulares, uso de palmilhas de detecção de pressão e temperatura, monitoramento remoto e vídeoconsultas foram eficientes no cuidado às pessoas com pé diabético. Desta forma, a capacitação de profissionais de saúde acerca das mudanças nos cuidados, são fundamentais para enfrentar as barreiras e prestar assistência de qualidade.

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An internet‐based algorithm for diabetic foot infection during the COVID‐19 pandemic

Cited by 11 publications

References 4 publications

Virtual triage and outcomes of diabetic foot complications during Covid-19 pandemic: A retro-prospective, observational cohort study

Virtual triage and outcomes of diabetic foot complications during Covid-19 pandemic: A retro-prospective, observational cohort study

Management of diabetes‐related foot disease in the outpatient setting during the COVID‐19 pandemic

Desafios Do Cuidado Ao Pé Diabético No Cenário Da Pandemia De Covid-19: Reflexões

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