周围神经病变对因复杂糖尿病足病住院的患者计划外再入院的影响
Erwin Yii1, Amos Au2, Justin Bradley3
1Department of Vascular Surgery, Eastern Health, Box Hill, VIC, Australia.
The international journal of lower extremity wounds
|September 1, 2023
概括
糖尿病足病的再入院是常见的. 周围神经病变显著增加了非计划的再入院,突出了更好的出院规划和足部卸载患者教育的需要.
科学领域:
- 足部医学是一门专业.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 对于患有糖尿病足病 (DFD) 并发症的患者来说,无计划的再入院是一个重大问题.
- 识别与再入院相关的因素对于改善患者的治疗结果和降低医疗保健成本至关重要.
- 多学科护理设置旨在管理复杂的DFD病例,但再接收率仍然是一个挑战.
研究的目的:
- 确定因糖尿病足病并发症而入院的患者意外再入院的相关因素.
- 评估这些因素对制定减少再接收率的战略的影响.
- 分析外围神经病变作为DFD患者再入院的风险因素的影响.
主要方法:
- 从2015-2017年对单一中心患者数据库的回顾性分析.
- 包括340名因糖尿病足病并发症住院的患者.
- 使用多变量分析,比较30天内再入院的患者和未再入院的患者之间的人口统计和临床并发症.
主要成果:
- 非计划性再入院率为10.9%,其中71%与伤口恶化和感染有关.
- 虽然一些因素,如较低的BMI和更高的骨髓炎率在再接收组中观察到,只有外围神经病变是统计学上显著的.
- 周围神经病变被确定为无计划再入院的重要风险因素 (OR: 2.78,95% CI: 1.23-6.29,P=.014).
结论:
- 周围神经病变是一种重要的,不可修改的风险因素,与糖尿病足病患者的意外再入院有关.
- 减少遣返人数的有效策略需要全面的释放准备和社区过渡支持.
- 关于长期卸载无感足的患者教育对于预防反复复发的并发症和再入院至关重要.
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