Diabetic foot ulcers

The importance of patient comorbidity recognition and total contact casting in successful wound care

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Diabetic foot ulcers (DFUs) are a major burden on the health-care system. The purpose of this study is to investigate factors affecting the healing rate of DFU in a university wound care center. Records of DFU patients treated between July 2013 and February 2015 were reviewed. Demographics, comorbidities, wound characteristics, and treatment modalities including offloading, hyperbaric oxygen treatment, total contact casting, and bioengineered skin were investigated. All patients underwent weekly debridement regardless of treatment modality. A total of 114 patients ages 18 to 98 comprised the study population. Total contact casting was the only treatment associated with increased healing (P 5 0.02). Smoking (P 5 0.004) and deep vein thrombosis history (P 5 0.001) significantly decreased the likelihood of wound healing. Patients with past vascular event trended toward longer healing times (P 5 0.07). Total contact casting in combination with weekly wound debridement showed benefit in DFU wound healing, whereas patients with a history of deep vein thrombosis and smoking were less likely to heal.

Original languageEnglish (US)
Pages (from-to)733-736
Number of pages4
JournalAmerican Surgeon
Volume82
Issue number8
StatePublished - Aug 1 2016

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Diabetic Foot
Comorbidity
Wounds and Injuries
Debridement
Venous Thrombosis
Wound Healing
Smoking
Therapeutics
Blood Vessels
Demography
Oxygen
Delivery of Health Care
Skin
Population

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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title = "Diabetic foot ulcers: The importance of patient comorbidity recognition and total contact casting in successful wound care",
abstract = "Diabetic foot ulcers (DFUs) are a major burden on the health-care system. The purpose of this study is to investigate factors affecting the healing rate of DFU in a university wound care center. Records of DFU patients treated between July 2013 and February 2015 were reviewed. Demographics, comorbidities, wound characteristics, and treatment modalities including offloading, hyperbaric oxygen treatment, total contact casting, and bioengineered skin were investigated. All patients underwent weekly debridement regardless of treatment modality. A total of 114 patients ages 18 to 98 comprised the study population. Total contact casting was the only treatment associated with increased healing (P 5 0.02). Smoking (P 5 0.004) and deep vein thrombosis history (P 5 0.001) significantly decreased the likelihood of wound healing. Patients with past vascular event trended toward longer healing times (P 5 0.07). Total contact casting in combination with weekly wound debridement showed benefit in DFU wound healing, whereas patients with a history of deep vein thrombosis and smoking were less likely to heal.",
author = "Mayuri Jagadish and Michael Mcnally and Robert Heidel and Susan Teffeteller and Joshua Arnold and Michael Freeman and Scott Stevens and Oscar Grandas and Mitchell Goldman",
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T2 - The importance of patient comorbidity recognition and total contact casting in successful wound care

AU - Jagadish, Mayuri

AU - Mcnally, Michael

AU - Heidel, Robert

AU - Teffeteller, Susan

AU - Arnold, Joshua

AU - Freeman, Michael

AU - Stevens, Scott

AU - Grandas, Oscar

AU - Goldman, Mitchell

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N2 - Diabetic foot ulcers (DFUs) are a major burden on the health-care system. The purpose of this study is to investigate factors affecting the healing rate of DFU in a university wound care center. Records of DFU patients treated between July 2013 and February 2015 were reviewed. Demographics, comorbidities, wound characteristics, and treatment modalities including offloading, hyperbaric oxygen treatment, total contact casting, and bioengineered skin were investigated. All patients underwent weekly debridement regardless of treatment modality. A total of 114 patients ages 18 to 98 comprised the study population. Total contact casting was the only treatment associated with increased healing (P 5 0.02). Smoking (P 5 0.004) and deep vein thrombosis history (P 5 0.001) significantly decreased the likelihood of wound healing. Patients with past vascular event trended toward longer healing times (P 5 0.07). Total contact casting in combination with weekly wound debridement showed benefit in DFU wound healing, whereas patients with a history of deep vein thrombosis and smoking were less likely to heal.

AB - Diabetic foot ulcers (DFUs) are a major burden on the health-care system. The purpose of this study is to investigate factors affecting the healing rate of DFU in a university wound care center. Records of DFU patients treated between July 2013 and February 2015 were reviewed. Demographics, comorbidities, wound characteristics, and treatment modalities including offloading, hyperbaric oxygen treatment, total contact casting, and bioengineered skin were investigated. All patients underwent weekly debridement regardless of treatment modality. A total of 114 patients ages 18 to 98 comprised the study population. Total contact casting was the only treatment associated with increased healing (P 5 0.02). Smoking (P 5 0.004) and deep vein thrombosis history (P 5 0.001) significantly decreased the likelihood of wound healing. Patients with past vascular event trended toward longer healing times (P 5 0.07). Total contact casting in combination with weekly wound debridement showed benefit in DFU wound healing, whereas patients with a history of deep vein thrombosis and smoking were less likely to heal.

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