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Diabetes Care. 2000 Sep;23(9):1339-42.

Effectiveness of a comprehensive diabetes lower-extremity amputation prevention program in a predominantly low-income African-American population.

Author information

1
Diabetes Foot Program, Louisiana State University Health Sciences Center, Baton Rouge 70806, USA. cpatou@lsuhsc.edu

Abstract

OBJECTIVE:

To compare patient outcomes 1 year before and 1 year after enrollment in a comprehensive diabetes lower-extremity amputation prevention program.

RESEARCH DESIGN AND METHODS:

Outcome data were obtained on 197 patients enrolled in the Louisiana State University Health Sciences Center Diabetes Foot Program, which provides foot care to a predominantly low-income African-American population in Louisiana. Data were obtained using a structured interview administered by a registered nurse. Recordings were made of number of days with an open foot ulcer, number of times hospitalized for a foot problem, number of days spent in the hospital for a foot problem, number of visits to the emergency room for a foot problem, number of times an antibiotic was prescribed for a foot problem, number of all foot operations, number of lower-extremity amputations, and number of missed workdays for a foot problem. Data were obtained on all patients at the initial visit and at the 1-year follow-up.

RESULTS:

Analysis of data showed a reduction in foot-related ulcer days (-49%), hospitalizations, (-89%), hospital days (-90%), emergency room visits (-81%), antibiotic prescriptions, (-57%), foot operations (-87%), lower-extremity amputations (-79%), and missed workdays (-70%) after 1 year of comprehensive foot care compared with the 1-year period before treatment.

CONCLUSIONS:

This single cohort outcome study showed a large reduction in foot-related complications after the first year of comprehensive preventive foot care.

PMID:
10977029
[Indexed for MEDLINE]
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