西班牙 (2018-2022) 内科医疗服务中的糖尿病足部感染 (2018-2022)
C Fuentes Santos1, J A Rueda Camino2, Á Asenjo Mota3
1Servicio Medicina Interna, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain; Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, Madrid, Spain; Grupo Gestión, Sociedad Española Medicina Interna, Spain.
Revista clinica espanola
|January 26, 2025
概括
糖尿病足部感染显著影响内部医学,导致高死亡率 (16%) 和截肢率 (8.25%). 这种严重的糖尿病并发症带来了大量的医疗保健费用,突出了需要有效的管理策略.
科学领域:
- 内部医学 内部医学
- 糖尿病学 糖尿病学
- 公共卫生 公共卫生
背景情况:
- 糖尿病足部感染是糖尿病的一个严重并发症.
- 它们的管理和对内部医学服务的影响需要进一步澄清.
研究的目的:
- 分析内部医学中糖尿病足诊断的发生率,结果和成本.
- 确定这些患者死亡和截肢的风险因素.
主要方法:
- 使用RAE-CMBD注册表 (2018-2022) 的回顾性队列研究.
- 包括从内科诊所出院的糖尿病足诊断的患者.
- 对人口,临床和活动数据的分析,包括死亡率,截肢率和住院费用.
主要成果:
- 确诊了15,402例糖尿病足发作,占内科病房入院病例的0.41%.
- 高的住院死亡率 (16%) 和截肢率 (8.25%).
- 高龄,并发症和住院并发症增加了死亡率和截肢风险;每次入院的平均成本超过6000欧元.
结论:
- 由于患者数量,死亡率和成本高,糖尿病足病理严重负担内科.
- 有效的管理策略对于减轻糖尿病足并发症的影响至关重要.
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