Effects of a Multidisciplinary Therapeutic Approach to ''Diabetic Foot'' Complications: A Single-Center Pilot Study from Turkey

Abstract

[LANGUAGE= "English"] Objectives: The prevalence of diabetes mellitus is rapidly increasing in society. Every year, millions of people suffer from diabetic foot complications. This study was conducted to evaluate the effectiveness of a multidisciplinary ap?proach in diabetic foot treatment. Methods: A total of 85 cases with diabetic foot complications were analyzed in the study. Besides, we evaluated pa?tients' personal information, any morbidity, the consultations they asked for while planning their treatment, the surgi?cal options they preferred, the SINBAD and PEDIS scores they had when they were admitted to the hospital, and how these scores related to each other. Results: The number of male patient was higher (66, 77%) and the average age of all patients was 67.4 (40-93) years. The frequency of chronic ischemic heart disease was found to be 96% among the patients and also 51 patients (60%) underwent peripheral vascular interventional angiography. Wound debridement was performed on 38 patients (44%), and various levels of amputations were conducted on 47 patients. While 39 of the patients received hyperbaric oxygen therapy (HBOT) and 34 received vacuum-assisted wound closure (VAC) system treatment. Conclusion: This single clinical study demonstrates that a multidisciplinary approach is an effective strategy for treat?ing diabetic foot complications.

Alternate abstract:

Objectives: The prevalence of diabetes mellitus is rapidly increasing in society. Every year, millions of people suffer from diabetic foot complications. This study was conducted to evaluate the effectiveness of a multidisciplinary ap?proach in diabetic foot treatment. Methods: A total of 85 cases with diabetic foot complications were analyzed in the study. Besides, we evaluated pa?tients' personal information, any morbidity, the consultations they asked for while planning their treatment, the surgi?cal options they preferred, the SINBAD and PEDIS scores they had when they were admitted to the hospital, and how these scores related to each other. Results: The number of male patient was higher (66, 77%) and the average age of all patients was 67.4 (40-93) years. The frequency of chronic ischemic heart disease was found to be 96% among the patients and also 51 patients (60%) underwent peripheral vascular interventional angiography. Wound debridement was performed on 38 patients (44%), and various levels of amputations were conducted on 47 patients. While 39 of the patients received hyperbaric oxygen therapy (HBOT) and 34 received vacuum-assisted wound closure (VAC) system treatment. Conclusion: This single clinical study demonstrates that a multidisciplinary approach is an effective strategy for treat?ing diabetic foot complications.