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Auteur Richard W. Murphy
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Ajouter le résultat dans votre panier Affiner la rechercheMultidisciplinary Limb Salvage Service Reduces Major Amputations in Diabetic Foot Infections / Eric Pillado in Journal of the American Podiatric Medical Association, vol. 113, 02 (Mars 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 02 (Mars 2023)
Titre : Multidisciplinary Limb Salvage Service Reduces Major Amputations in Diabetic Foot Infections Type de document : article de périodique Auteurs : Eric Pillado ; Christian de Virgilio ; Eli Ipp ; Richard W. Murphy ; Fred Bongard ; Kimberly Lauer ; Ashley J. Miller Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Prévention
[Thésaurus Mesh]Amputation chirurgicale
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Relations interprofessionnelles
[Thésaurus Mesh]Ulcère du piedRésumé : ackground: Diabetic foot infections (DFIs) can lead to limb loss and mortality. To improve patient care at a safety-net teaching hospital, we created a multidisciplinary limb salvage service (LSS). Methods: We recruited a cohort prospectively and compared it to a historical control group. Adults admitted to the newly established LSS for DFI during a 6-month period from 2016 to 2017 were included prospectively. Patients admitted to the LSS had routine endocrine and infectious diseases consultations according to a standardized protocol. A retrospective analysis of patients admitted to the acute care surgical service for DFI before creation of the LSS during an 8-month period from 2014 to 2015 was performed. Results: A total of 250 patients were divided into two groups: the pre-LSS (n = 92) and the LSS (n = 158) groups. There were no significant differences in baseline characteristics. Although all patients were ultimately diagnosed with diabetes, more patients in the LSS group had hypertension (71% versus 56%; P = .01) and a prior diagnosis of diabetes mellitus (92% versus 63%; P , .001) compared to the pre-LSS group. Significantly, with the LSS, fewer patients underwent a below-the-knee amputation (3.6% versus 13%; P = .001). There was no difference in the length of hospital stay or 30-day readmission rate between the groups. Further broken down into Hispanic versus non-Hispanic, we noted that Hispanics had significantly lower rates of below-the-knee amputations (3.6% versus 13.0%; P = .02) in the LSS cohort. Conclusions: The initiation of a multidisciplinary LSS decreased the below-the-knee amputation rate in patients with DFIs. Length of stay was not increased, nor was the 30-day readmission rate affected. These results suggest that a robust multidisciplinary LSS dedicated to the management of DFIs is both feasible and effective, even in safety-net hospitals. Note de contenu :
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Cote Support Localisation Section Disponibilité aucun exemplaire Statut social et conformisme / Richard W. Murphy
Titre : Statut social et conformisme Type de document : Monographie Auteurs : Richard W. Murphy, Auteur Editeur : Nederland : Time-Life International Année de publication : 1977 Collection : Le comportement humain Pages : 176 p. : ill. : 27 cm Note générale : Bib. - Index. - Rel. Descripteurs (mots clés) : [Thésaurus Mesh]Conditions sociales
[Thésaurus Mesh]Conformisme socialPermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= Exemplaires
Cote Support Localisation Section Disponibilité S03/MUR/ST Livre Erasme - secteur S société et santé S03 - Groupe social, sociologie, anthropologie, culture Disponible