Hospitalisation Cost of Patients with Diabetic Foot Ulcers in Valencia (Spain) in the Period 2009–2013: A Retrospective Descriptive Analysis

Nieto-Gil, Pilar; Ortega-Ávila, Ana Belén; Ríos, Manuel Pardo; Cobo-Najar, Manuel; Blasco-Garcia, Carlos; Gijón-Noguerón, Gabriel

doi:10.3390/ijerph15091831

Cited by 16 publications

(17 citation statements)

References 14 publications

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“…20 By age groups, the highest number of admissions were patients aged 66-75 years (n = 1251), compared with the study of Pilar in 2018, the main body of hospitalized patients was gradually younger. 2 In terms of cost comparison, we found that the highest average cost was produced by the patients aged >85 years (n = 131), mean at ¥29,255.15, median at ¥17,082.60. Pilar's result was 55-59 years (n = 282), at €8059.…”

Section: Discussionmentioning

confidence: 89%

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<p>Cost of Diabetic Foot Ulcer Management in China: A 7-Year Single-Center Retrospective Review</p>

Qu¹,

Wang²,

Wei³

et al. 2020

DMSO

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Background The cost of care for diabetic foot ulcers has became a global economic burden. The study aimed to analyze diabetic foot ulcer cost changes over time and to identify factors associated with these variables, so as to strengthen and improve the management of diabetic foot ulcers. Methods We retrospectively analyzed the data in the electronic medical record system of our wound treatment center. The homepage of the system was queried using the national clinical version 2.0 disease diagnosis code (ICD-10), the data of patient’s basic information were exported. Through the statistics and analysis of these data, the socioeconomic changes and possible risk factors of diabetic foot ulcers management in recent years were obtained. Results There were 3654 patients included in the study, an average of 522 per year. The total cost per patient increased from ¥15,535.58 in 2014 to ¥42,040.60 in 2020, with an average of ¥21,826.91. The average length of stay between 14.29 days and 31.4 days from 2014 to 2020, with an average of 18.10 days. Besides, the average incidence of peripheral arterial disease in diabetic foot ulcers patients admitted was as high as 81.9%, and the average amputation rate was 9.9%. The study reflected the total cost and length of stay of diabetic foot patients increased significantly from 2014 to 2020, which were related to age (>85 years), gender (male), peripheral arterial disease, amputation (P < 0.05). Conclusion A heavy cost from diabetic foot ulcers and its complications was significantly increased yearly, which was related to older age, co-morbidity, amputation and duration of hospitalization. The prevention and treatment of diabetic foot ulcers have a long way to go, early comprehensive prevention and multi-disciplinary cooperation may still be an effective way.

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Section: Discussionmentioning

confidence: 89%

“…Foot ulceration is the most frequently recognized complication. 1 , 2 Complications of diabetes that affect the lower extremities are common, complex, and costly. The number of diabetic patients in the world is increasing dramatically year by year, and the prevalence of diabetic mellitus (DM) is also on the rise.…”

Section: Introductionmentioning

confidence: 99%

<p>Cost of Diabetic Foot Ulcer Management in China: A 7-Year Single-Center Retrospective Review</p>

Qu¹,

Wang²,

Wei³

et al. 2020

DMSO

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“…Hence, they contributed to societal cost of diabetes as foot problems in diabetic patients were the commonest cause of admission to hospital with risk of amputation estimated to increase 15–20 times. In fact, some 50% of all lower limb amputations were done in diabetic patients 4. In addition to increased cost of treating foot ulcer patient especially those requiring inpatient care, limb amputation was a major impact on the individual.…”

Section: Introductionmentioning

confidence: 99%

Can we link foot ulcer with risk factors in diabetics? A study in a tertiary care hospital

Khan¹,

Azhar²,

Zubair³

et al. 2018

Pak J Med Sci

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Objective:Although many studies worldwide explained the risk factors for developing Diabetic Foot Ulceration (DFU), little has been done to assess medical factors in DFU formation and link them in patients of Pakistan. This study aimed to link the DFU with different risk factors.Methods:This descriptive cross-sectional retrospective study was conducted in Diabetes Endocrine and Metabolic Centre / Post Graduate Medical Institute / Lahore General Hospital. Data of all patients presenting between July 2017 to June 2018 were analyzed for risk factors. Analysis was done on SPSS version 21.Results:Total of 3301 patient were seen during this period, out of which 2052 patient data was picked up as it was complete in respect to the information needed. Middle age, Male gender, Type 2 diabetes, and Hypertension, were insignificantly co-related. High waist circumference, Comorbidity like Neuropathy, Dyslipidemia, Greater body mass index, Poor compliance with Medication and type of medication used (combination of oral and injectable) were found statistically significant predictor for DFU. However retinopathy was not found to be a risk factor of DFU. This result was statistically significant.Conclusion:Factors like obesity, waist circumference, combination of oral along with injectable therapies, neuropathy, dyslipidemia, retinopathy and poor compliance with medication were statistically significant and can be strongly linked with diabetic foot ulcer. Middle age, Male gender, Type 2 diabetes, and Hypertension were insignificantly co-related. However, further studies are needed in larger population to support these findings.

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“…The studies found that between 20 and 50% of hospitalization episodes of diabetic patients were due to DFU (9,17). A study showed that the mean duration of hospitalization was 11.4 days and the cost imposed on each hospitalized DFU patient was 7636 Euros (18). Therefore, patient education and performing DFU care by health caregivers can decrease the burden of DFU and prevent hospitalization and foot amputation.…”

Section: Discussionmentioning

confidence: 99%

Frequency of Diabetes Foot Ulcer and Related Factors Among Adult Diabetic Patients in the Diabetes Center of Kerman, Iran

Khalooei

Meymand

2019

Shiraz E-Med J

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Background: Diabetic Foot Ulcer (DFU) as one of the main complications of diabetes mellitus has serious outcomes such as infection, foot amputation, low quality of life, and premature death. Objectives: This study was conducted to assess the DFU prevalence and its related factors among diabetic patients. Methods: The population of this cross-sectional study included adult diabetic patients in the Diabetes Center of Kerman University of Medical Sciences. The data were recorded in a questionnaire using patients' medical records, interviews with them, and physical examination. The collected data were imported to SPSS version 22 software and analyzed. Results: Of 400 diabetic patients enrolled in the study, 69% (n = 276) were female. The mean (± SD) of their age was 57.1 (± 11.9) years and 72% (n = 288) were younger than 65. The frequency of DFU during the total course of the disease and its annual prevalence were 17.3% (n = 69) and 11.8% (n = 49) among diabetic patients, respectively. More than one-third (37.7%) of the DFU patients and 6.6% of all the patients were admitted to a hospital due to DFU. Major or minor amputation was performed for 14.5% (n = 10) of the total DFU patients and 2.5% of the total patients. Having diabetes-related complications was determined as the strongest predictor of DFU (OR = 7.016, 95% CI = 2.67-18.38), followed by smoking (OR = 3. 80, 95% CI = 2.06-6.99) and age over 64 years (OR = 3.70, 95% CI = 1.299-10.568). Conclusions: The frequency of DFU was high among diabetic patients attending the Diabetes Center of Kerman University of Medical Sciences. Also, hospital admission and foot amputation due to DFU had a considerable frequency. Therefore, there is a crucial need to improve the quality of foot care services and emphasize foot self-care as essential components of diabetes self-management at all levels of the health service delivery system to decrease the risk of DFU.

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Hospitalisation Cost of Patients with Diabetic Foot Ulcers in Valencia (Spain) in the Period 2009–2013: A Retrospective Descriptive Analysis

Cited by 16 publications

References 14 publications

<p>Cost of Diabetic Foot Ulcer Management in China: A 7-Year Single-Center Retrospective Review</p>

<p>Cost of Diabetic Foot Ulcer Management in China: A 7-Year Single-Center Retrospective Review</p>

Can we link foot ulcer with risk factors in diabetics? A study in a tertiary care hospital

Frequency of Diabetes Foot Ulcer and Related Factors Among Adult Diabetic Patients in the Diabetes Center of Kerman, Iran

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