Costs of Hospital Stay in Specialized Diabetic Foot Department in Russia

Ignatyeva, V.; Severens, Johan L.; Ramos, Isaac Corro; Galstyan, Gagik R.; Avxentyeva, M.

doi:10.1016/j.vhri.2015.09.003

Cited by 11 publications

(6 citation statements)

References 15 publications

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“…A study in Russia, concerning patients admitted to hospital due to a foot ulcer categorized by Wagner grade produced these average costs: grade 1e2450 V, grade 2e2821 V, grade 3e3937 V, and grade 4e5340 V. 56 Length of hospital stay, foot surgery, and vascular surgery had the greatest effect on cost.…”

Section: The Economic Burden To Health Care Systemmentioning

confidence: 98%

The current burden of diabetic foot disease

Edmonds

Manu

Vas

2021

Journal of Clinical Orthopaedics and Trauma

234

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Neuropathy and ischaemia are two great pathologies of the diabetic foot which lead to the characteristic features of foot ulceration (neuropathic and ischaemic) and Charcot neuroarthropathy. These can be complicated by infection and eventually may result in amputation (minor or major) and increased mortality. All of these features contribute to considerable clinical and economic burden.Peripheral nerves in the lower limbs are susceptible to different types of damage in patients with diabetes leading to distinctive syndromes. These include symmetrical sensory neuropathy associated with autonomic neuropathy, which advances gradually, and acutely painful neuropathies and mononeuropathies which have a rather acute presentation but usually recover. Ischaemia in the form of peripheral arterial disease is an important contributor to the burden of the diabetic foot. The incidence of atherosclerotic disease is raised in patients with diabetes and its natural history is accelerated. Diabetes causes severe and diffuse disease below-the knee. The lifetime risk of developing a diabetic foot ulcer is between 19% and 34%. Recurrence is common after initial healing; approximately 40% of patients have a recurrence within 1 year after ulcer healing, almost 60% within 3 years, and 65% within 5 years. Charcot neuroarthropathy is characterised by bone and joint destruction on the background of a neuropathy. Its prevalence in diabetes varies from 0.1% to 8%.Infection develops in 50%e60% of ulcers and is the principal pathology that damages diabetic feet. Approximately 20% of moderate or severe diabetic foot infections result in lower extremity amputations. The incidence of osteomyelitis is about 20% of diabetic foot ulcers.Every 20 s a lower limb is amputated due to complications of diabetes. Of all the lower extremity amputations in persons with diabetes, 85% are preceded by a foot ulcer. The mortality at 5 years for an individual with a diabetic foot ulcer is 2.5 times as high as the risk for an individual with diabetes who does not have a foot ulcer. The economic burden exacted on health care systems is considerable and includes direct and indirect costs, with loss of personal earnings and burden to carers. The diabetic foot is a significant contributor to the global burden of disability and reduces the quality of life. It remains a considerable public health problem.

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Section: The Economic Burden To Health Care Systemmentioning

confidence: 98%

The current burden of diabetic foot disease

Edmonds

Manu

Vas

2021

Journal of Clinical Orthopaedics and Trauma

234

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“…18 This is expected to reach 19% by 2045. 11 In Ghana, DFU prevalence was at 3.8 19 to 11%. 10 Singh et al reported that 11% to 14% of diabetic patients will develop foot ulcers, and about 6% to 23% of the foot ulcers may worsen and eventually lead to amputation.…”

Section: Introductionmentioning

confidence: 99%

“…3,7 Diabetic neuropathy often leads to the development of diabetic foot ulcers (DFUs), 8,9 where a thickened wound at the balls of the feet forms regardless of the duration. 10 Foot ulcer is the most common, but serious and costly complication of DM, [11][12][13] accounting for 7% to 11% of all hospital admissions in diabetic patients. 3,7,14 This affects societies and leaves a huge financial impact on low-income families and the health care system in developing nations.…”

Section: Introductionmentioning

confidence: 99%

“…3 An estimated 52% to 68% of diabetic patients with amputation experienced stable frailty, loss of movement, and significant reduction in the lifespan. 3,11,16 Inferior extremity amputations are greater in DM patients than in non-DM patients. 17 A study by Ignatyeva et al showed the higher cost of medical care for DM patients with DFUs than those with no DFUs.…”

Section: Introductionmentioning

confidence: 99%

“…The study also observed increased severity in DFUs than those with foot ulcers not caused by DM. 11 The global prevalence of DFUs ranged from 1.6% to 8.0%. 18 This is expected to reach 19% by 2045.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region, Ghana

Nyande

Agordoh

Nartey

et al. 2021

International Wound Journal

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Diabetic foot ulcers (DFUs) are a common but serious complication of diabetes mellitus (DM). The factors distressing the worth of diabetic foot care (DFC) are knowledge and practice. Foot ulcers are the main cause of amputation and death in people suffering from DM. This study assessed the knowledge and practice of DFC and the prevalence of DFUs and its associated factors among diabetic patients of selected hospitals in the Volta Region, Ghana. A multihospitalbased cross-sectional study was conducted among 473 patients with DM who were recruited using the systematic sampling method. Data were collected using a validated, pretested, and structured questionnaire, while medical variables were obtained from patient folders and analysed using SPSS version 23. All statistically significant parameters in bivariate analysis were incorporated in the multivariate logistic regression analysis. The results showed that 63% of diabetic patients had good knowledge of DFC, while 49% competently practiced it. A

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Epidemiology and Economic Impact of Foot Ulcers

Boyko

Monteiro‐Soares

2020

The Foot in Diabetes

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Costs of Hospital Stay in Specialized Diabetic Foot Department in Russia

Cited by 11 publications

References 15 publications

The current burden of diabetic foot disease

The current burden of diabetic foot disease

Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region, Ghana

Epidemiology and Economic Impact of Foot Ulcers

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