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[Hospitalizations due to diabetic foot in Switzerland]
Caroline Pedgrift Krzywicki1, Jean-Blaise Wasserfallen
1Institut d'economie et de management de la santé (IEMS), Université de Lausanne, 1015 Lausanne. caroline.pedgriftkrzywicki@alumnil.unil.ch
Objective:
Evaluate the hospital impact of diabetes, foot ulcers and amputations linked to diabetic foot in Switzerland.
Methods:
Data from the medical statistics of Swiss hospitals between 2003 and 2008.
Results:
Over 6 years, the annual hospital admission rate of diabetic patients increased by 38%, the number of hospitalised patients and of admissions by 44% and 51%, respectively. For ulcers, these figures were 112% and 194%, and for amputations 26% and 34%, respectively. Amongst patients hospitalised in 2005 with ulcer or for amputation, about 25% were hospitalised 2 years and 33% 1 year before or after. Length of stay decreased by 10%, but hospital mortality remained stable below 10%.
Conclusion:
Hospital admissions with diabetic foot problems are an important public health issue, and are getting worse.
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