机构的toe & flow计划:团队如何以及为什么工作
Ahmed A Naiem1, Ryan T Callahan1, Alexander M Reyzelman1
1Center for Limb Preservation and Diabetic Foot, Division of Vascular and Endovascular Surgery, University of California, San Francisco, San Francisco, CA.
Seminars in vascular surgery
|March 14, 2025
概括
采用多学科方法的Toe & Flow模型,改善了糖尿病足和慢性肢体威胁性缺血的治疗结果. 这种综合护理策略可以减少肢体损失,并通过简化治疗和社区伙伴关系提高患者的生存率.
科学领域:
- 足部医学是一门专业.
- 血管外科 血管外科
- 糖尿病学 糖尿病学
- 公共卫生 公共卫生
背景情况:
- 糖尿病足 (DFU) 与慢性肢体威胁性缺血症 (CLTI) 具有严重的肢体损失和死亡风险.
- 当前的治疗模式往往缺乏综合的,多学科的方法,导致患者的治疗结果低于最佳.
- 有效的管理需要协调努力,解决和潜在的血管损害.
研究的目的:
- 引入和评估"Toe & Flow"模型,这是一个新的,多学科的护理途径,用于DFU和CLTI患者.
- 展示这种综合模型如何简化治疗,改善对护理的准入,并改善患者的治疗结果.
- 突出该模型在降低截肢率和提高高风险人群生存率方面的成功.
主要方法:
- 脚和流动模型是一个多学科的以团队为基础的方法,由足部/骨科脚专家和血管专家领导.
- 它整合了其他医疗专业人员和社区合作伙伴,以创建一个全面的护理生态系统.
- 该模型建立了明确的转诊途径,利用基于证据的治疗指南,并结合了积极的监测和社区合作.
主要成果:
- 机构的Toe & Flow计划已经在管理复杂的糖尿病足病例方面取得了成功.
- 该模型通过社区教育,参与和简化访问来促进高标准的护理.
- 结果数据收集和报告作为区域教育中心,为政策和资源分配提供信息.
结论:
- 脚和流动模型提供了一个成功的框架,用于优化糖尿病脚的治疗,并有慢性肢体威胁性缺血症.
- 这种综合,多学科的方法显著降低了肢体损失的风险,并改善了患者的生存率.
- 该模型强调社区融合,基于证据的途径和结果报告,为改善全国糖尿病肢体护理提供了可扩展的解决方案.
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