Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Management of diabetic foot syndrome during the covid-19 pandemic. A retrospective study on a cohort of patients referred to Level 3 in the province o |
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| Name | Orlandi Carlotta |
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| Supervisor(s) | Castellano Claudia, Maurantonio Mauro |
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| Academic Year | 2021/22 |
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| Thesis type | Research thesis |
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Abstract
Background: the Diabetic Foot is defined as the presence, in diabetic patients, of ulceration of foot tissues which, when associated with ischaemia and/or infection, is a risk factor for limb amputation and mortality. Modern Guidelines suggest the management by Multidisciplinary Teams through Diagnostic-Therapeutic Pathways (PDTA) to improve outcomes. In the province of Modena, since 2018, the care of patients with diabetic foot is carried through a specific PDTA on three Levels of care, of which the Azienda Ospedaliero-Universitaria Policlinico di Modena (AOU Modena) represents the 3rd Level and the care entrusted to a Multidisciplinary and Interprofessional Team (Diabetic Foot Care Team).The aim of the study is to evaluate the effect of the Covid-19 pandemic on patients with diabetic foot syndrome in the province of Modena. Materials and methods: a retrospective study was carried out on 370 patients admitted to the "Diabetic Foot Section" of the UOC of Metabolic Medicine in the period 2019-2022. A comparative statistical analysis of indicators was performed between the Covid pandemic period (during-C) and the pre-pandemic (pre-C) and post-pandemic (post-C) periods. Primary outcomes were: major amputation, minor amputation, exitus. Secondary outcomes were minor and major revascularisation, duration of antibiotic therapy and hospital stay. Results: during the pandemic period (during-C) a statistically significant difference was observed, compared with pre-C and post-C, in the number of minor amputations, duration of antibiotic therapy, length of hospital stay, and diagnosis of osteomyelitis. In the immediate post-C, an increase in major amputations was observed, although not statistically significant. a total of 10 exits were observed during the period examined. Conclusion: reduced accessibility to care appears to have resulted in a more acute presentation of the disease.
