[Multidisciplinary unit specialized in the treatment of diabetic foot: Evaluation and results]

Rehabilitacion (Madr). 2022 Jan-Mar;56(1):56-63. doi: 10.1016/j.rh.2021.08.001. Epub 2021 Sep 11.
[Article in Spanish]

Abstract

Introduction: In this study the evaluation of the care process of the diabetic foot will be carried out after the implementation of an intra-hospital clinical pathway and a multidisciplinary consultation.

Objectives: Evaluate the influence on factors related to the care, amputations, and rehabilitation of the amputee patient.

Methodology: Retrospective study, in which the comparison of three periods has been made. First (3years): Before the implantation of the pathway. Second (5years): After the implementation of the pathway. Third (10years): After the implementation of the consultation.

Results: A specialized consultation in diabetic foot care contributes to a reduction in femoral and minor amputations. The assessment and treatment by rehabilitation of patients undergoing major amputation has been optimized.

Conclusion: The implantation of the pathway and consultation contributes to the preservation of the lower limb. However, the incidence remains high, suggesting that diabetic foot care remains suboptimal.

Keywords: Amputaciones; Amputations; Diabetic foot; Multidisciplinary unit; Pie diabético; Rehabilitación; Rehabilitation; Unidad multidisciplinar.

MeSH terms

  • Amputation, Surgical
  • Diabetes Mellitus*
  • Diabetic Foot* / surgery
  • Humans
  • Lower Extremity / surgery
  • Patient Care Team
  • Retrospective Studies