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Diabetic Foot - Crossref

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Last Updated: 28 August 2022

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Healthcare costs of diabetic foot disease in Italy: estimates for event and state costs

Abstract: The study sought to determine diabetes care costs in a large population-based cohort of people with type-2 diabetes in the Tuscany region. The study design of a retrospective cohort of patients with T2D: A retrospective analysis of T2D reveals a retrospective analysis. Methods We investigated the annual healthcare costs of these clinical conditions in patients with T2D between 2015 and 2018; moreover, we used a generalized linear model to estimate total healthcare spending. Principal results Between 2015 and 2018, patients with T2D experiencing DFD had significantly higher average direct costs than patients with T2D without DFD. Those with T2D-related problems in 2015-2013, 2017-to-2017, and those with persistent problems in 2018 and 2017 incurred the most incremental costs followed by those with complications in 2015 and 2017, as well as those with problems in 2015 and 2018. Patients with T2D and DFD are vulnerable to healthcare costs, which can be related to the duration and frequency of DFD.

Source link: https://doi.org/10.1007/s10198-022-01462-w


Prevalence of main risk factors of diabetic foot among diabetic patients attending specialized center for diabetes in Baghdad, Iraq 2013

Objects: To determine the prevalence of diabetic foot among diabetic patients and the occurrence of key risk factors. Diabetes in diabetic patients was 19. 2 percent. The following risk factors were all shown by a statistically significant association with diabetic foot growth: male gender, duration of diabetes mellitus, the use of bare foot, non-self-cleaning of foot, irregular visits to the diabetes center, and uncontrolled level of HbA1c. A independent significant relationship with diabetic foot growth was found by using a binary logistic regression model, including barefoot, non-self-cleaning of foot, male gender, duration of diabetes mellitus, and unsupervised increase in HbA1c levels. Diabetic patients have a high incidence of diabetic foot.

Source link: https://doi.org/10.5339/jemtac.2016.icepq.55


Holistic multi-class classification & grading of diabetic foot ulcerations from plantar thermal images using deep learning

Abstract Purpose: Diabetic foot is a common condition associated with diabetes mellitus, resulting in ulceration in the feet. One of the early signs of ulceration is changes in plantar temperature. Methods We propose a new convolutional neural network for discrimination between non-DM and five DM severity ratings from plantar thermal photographs and compare its results against pre-trained networks such as AlexNet and similar sites. Results In combined diabetic foot detection and grading, our proposed model achieved the highest success with mean sensitivity of 0. 9684, mean sensitivity of 0. 9689, and mean specificity of 0. 9892. This report establishes a new state-of-the-art in plantar foot thermogram detection and grading, to the first to use a holistic multi-class classification and grading system, according to the authors. Automatic thermogram grading is the first step toward the introduction of programmable thermogram grading in DM patients.

Source link: https://doi.org/10.1007/s13755-022-00194-8


Current Approaches in Healing of Wounds in Diabetes and Diabetic Foot Ulcers

Methods: Numerous studies in Literature were published to illustrate the challenges in diabetic wound healing and current therapies for wound healing in diabetic patients. Rosmarinus officinalis, Radix Rehmannia, Carica papaya, Aloe vera, Catharanthus roseus, Punica granatum, etc. are among the wound healing plants that have wound healing capability. Besides these studies, a number of other research, including clinical trials, have been conducted for wound healing in diabetes by using methods such as Honey-dressing, Royal Jelly, Extracorporeal Shock wave therapy, Manuka honey-impregnated dressing, LeucoPatch system, etc. Conclusion: An attempt was taken to investigate wound healing in diabetes in diabetes, as well as other options that may be most suitable for the treatment of wounds in Diabetes in this research.

Source link: https://doi.org/10.2174/1573407218666220823111344


Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers

Diabetes is the most common complication of diabetes, affecting thousands of people around the world each year. With the use of a VAS, the progress in wound healing before and after the end of therapy was measured. The wound surface's topical state of the wound surface had drastically reduced by 50% on average in 25 patients. After treatment, the VAS in all tested patients saw a significant decline in the perceived pain after treatment from 4. 64 u00b1 1. 68 points before treatment to 1. 51 u00b1 0. 92 points. Conclusions: As determined in an objective planimetric analysis, the use of local HBO therapy in the treatment of diabetic foot ulcers accelerates the ulcer healing process and reduces the frequency of reported pain symptoms.

Source link: https://doi.org/10.3390/ijerph191710548


The value of administering intravenous antibiotics during haemodialysis in the treatment of diabetic foot infections

Ziel: People with diabetes who are on haemodialysis are at a risk of diabetic foot infections and related disorders. During HD, we investigated the benefits of treating DFI with intravenous antibiotics. During HD, this was an observational study of consecutively treated patients with IV antibiotics in DFIs. During HD, a cohort of 11 patients, mean age 62. 4 to 112. 7 years, had 15 episodes of IV antibiotic therapy. vancomycin was the most common IV antibiotic used in IV antibiotic therapy. Other IV antibiotics that were used were daptomycin and meropenem. Oral ciprofloxacin was used with IV antibiotics in three cases. The mean duration of antibiotic therapy was 9. 2 weeks, while the mean was 9. 2 weeks. Conclusion: In DFI, HD offers a good opportunity for treatment with IV antibiotics. In over three-quarters of patients with DFI, this mode of administration of IV antibiotics, as well as multidisciplinary intervention, has been associated with ulcer healing and infection in over three-quarters of patients with DFI.

Source link: https://doi.org/10.12968/jowc.2022.31.8.683


Longitudinal physiological remoulding of lower limb skin as a cause of diabetic foot ulcer: a histopathological examination

The aim of diabetic foot ulceration has been recognized as a significant complication in patients with type 2 diabetes. Multiplex-immunofluorescence analysis was carried out with lengthwise serial skin specimens obtained from the medial thigh, lower leg, ankle, dorsum of foot, and acrotarsium of a patient with type 2 diabetes who had been diagnosed above the knee amputation. Proximal-to-distal nerve loss was traced, followed by impaired capillaries in the superficial papillary plexus and distended CD31-positive capillaries in the dorsum of foot. The sweat gland acinus in the ankle and dorsum of foot was also severely affected by neural fibres and capillaries. Large macrophage infiltration was followed by significant infiltration of macrophages in the superficial papillary plexus, sweat gland acinus, and sweat gland-associated adipose tissues. These results showed that chronic decline in local blood circulation could be the source of peripheral neuropathy, which triggered ulcer formation.

Source link: https://doi.org/10.12968/jowc.2022.31.sup8.s29


Impact of acute hyperglycemic crisis episode on survival in individuals with diabetic foot ulcer using a machine learning approach

This study was intended to investigate mortality risks and identify risk factors of death in patients with DFUs-HCE. Inpatients with DFUs-HCE were retrospectively enrolled in a cohort scheme design, compared to 93 inpatients with DFUs in a city-designated emergency center between January 2016 and January 2021. Patients with DFUs-HCE were more likely to havedementia, acute kidney injury, and septic shock, whereas DFUs were more likely to have diabetic peripheral neuropathy and ulcer recurrence. HCE greatly raised the risk of death in patients with DFUs than in patients with DFUs, and was unrelated to other confounding factors. HCE was also found to be one of the most important risk factors associated with all-cause mortality in patients with DFUs, according to the XGBoost device. HCE, a key risk factor for death in DFUs patients, is an important risk factor for death.

Source link: https://doi.org/10.3389/fendo.2022.974063


Classification of diabetic foot ulcer using convolutional neural network (CNN) in diabetic patients

Despite the fact that different disorders are responsible for different diseases, the photograph of chronic wounds on human skin tissue has the similar appearance in shape, color, and size to each other. Diabetic ulcer is a condition in which peripheral arterial blood vessels are disrupted by hyperglycemia in diabetic mellitus patients.

Source link: https://doi.org/10.20895/infotel.v14i3.796


New trends in the orthopaedic management of diabetic foot

Although there are various types of therapeutic footwear used to treat diabetic foot ulcers, diabetic foot ulcers are also common, recent research has affirmed the assertion that total contact casts are the norm. To create a moist wound environment, the newly accepted DFU care principles are stringently debridement and modern wound dressings are applied. Hyperbaric oxygen and negative pressure wound therapy have resurfaced recently as an adjunctive therapy for patients with DFUs. The midfoot fusion bolt is a new medical device that holds the foot's longitudinal column columns. In addition, Achilles tendon lengthening remains a common technique for treating Charcot foot.

Source link: https://doi.org/10.1302/2058-5241.3.170073

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions