Unadjusted results before, during, and after participation in a diabetic foot ulcer prevention program
Before | During | After | |
Total follow-up, years | 142.6 | 73.8 | 62.7 |
Follow-up per patient, months | 22.2 (±4.5) | 11.5 (±2.1) | 9.8 (±6.0) |
Hospitalizations | |||
Number | 82 | 21 | 40 |
Per patient-year | 0.58 | 0.28 | 0.63 |
By Diagnosis Related Group (DRG) type | |||
Coronary bypass | 3 (0.021) | 0 (0.0) | 0 (0.0) |
Cranial and peripheral nerve disorders | 6 (0.042) | 0 (0.0) | 1 (0.016) |
Diabetes | 5 (0.035) | 0 (0.0) | 3 (0.048) |
Drug poisoning | 0 (0.0) | 2 (0.027) | 0 (0.0) |
Foot procedures | 2 (0.014) | 0 (0.0) | 0 (0.0) |
Gastrointestinal disorders | 1 (0.007) | 0 (0.0) | 3 (0.048) |
Heart failure | 8 (0.056) | 1 (0.014) | 2 (0.032) |
Infectious and parasitic diseases | 9 (0.063) | 4 (0.054) | 2 (0.032) |
Lower extremity amputation | 10 (0.070) | 2 (0.027) | 2 (0.032) |
Male reproductive system diseases | 2 (0.014) | 0 (0.0) | 0 (0.0) |
Metabolic disorders | 3 (0.021) | 0 (0.0) | 2 (0.032) |
Nervous system procedure | 2 (0.014) | 1 (0.014) | 1 (0.016) |
Other | 14 (0.098) | 7 (0.095) | 11 (0.175) |
Renal failure | 5 (0.035) | 0 (0.0) | 1 (0.016) |
Respiratory system disorder | 0 (0.0) | 0 (0.0) | 2 (0.032) |
Septicemia | 5 (0.035) | 4 (0.054) | 8 (0.128) |
Pneumonia | 2 (0.014) | 0 (0.0) | 2 (0.032) |
Skin, subcutaneous tissue, and breast procedures | 2 (0.014) | 0 (0.0) | 0 (0.0) |
Wound debridement and skin graft | 3 (0.021) | 0 (0.0) | 0 (0.0) |
Emergency department visits | |||
Number | 66 | 17 | 42 |
Per patient-year | 0.46 | 0.23 | 0.67 |
Outpatient visits | |||
Number | 2049 | 881 | 812 |
Per patient-year | 14.4 | 11.9 | 13.0 |
% podiatry | 48.2 | 50.5 | 50.5 |
Lower extremity amputations | |||
Number | 32 | 6 | 6 |
Per patient-year | 0.22 | 0.082 | 0.10 |
% More proximal than digit | 31 | 0.0 | 50 |
Foot ulcers | |||
Number | 174 | 62 | 55 |
Per patient-year | 1.22 | 0.84 | 0.87 |
Per-participant | 2.26 | 0.81 | 0.71 |
Severity (University of Texas Classification), n (%) | |||
1A | 138 (78.3) | 59 (95.2) | 49 (89.0) |
1B | 15 (8.6) | 3 (4.8) | 5 (9.1) |
1C | 0 (0) | 0 (0) | 0 (0) |
1D | 0 (0) | 0 (0) | 0 (0) |
2A | 6 (3.5) | 0 (0) | 0 (0) |
2B | 7 (4.0) | 0 (0) | 0 (0) |
2C | 0 (0) | 0 (0) | 0 (0) |
2D | 0 (0) | 0 (0) | 0 (0) |
3A | 2 (1.2) | 0 (0) | 0 (0) |
3B | 5 (2.9) | 0 (0) | 1 (1.8) |
3C | 1 (0.6) | 0 (0) | 0 (0) |
3D | 0 (0) | 0 (0) | 0 (0) |
Moderate and severe foot ulcers (>University of Texas 1A) | |||
Number | 36 | 3 | 6 |
Per patient-year | 0.25 | 0.041 | 0.096 |
Secure messages | |||
Number | 663 | 395 | 309 |
Per patient-year | 4.6 | 5.4 | 4.9 |