More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot

NewsBot · Oct 20, 2012

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More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot and Venous Leg Ulcers.
Warriner RA 3rd, Wilcox JR, Carter MJ, Stewart DG.
Adv Skin Wound Care. 2012 Nov;25(11):494-501.

OBJECTIVE:: To determine whether patients with Wagner grades 1 and 2 diabetic foot ulcers (DFUs) or venous leg ulcers (VLUs) differed in terms of time to close depending on visit frequency to wound care centers.

DESIGN:: Retrospective cohort study.

SETTING:: Outpatients wound care centers.

PATIENTS:: Two hundred six patients with Wagner grade 1 or 2 DFUs and 215 patients with VLUs in the lower extremities collected from 9 wound care centers in 5 states (6 states for VLUs) during 2009/2010 and whose wounds had closed.

INTERVENTIONS:: For each type of DFU/VLU, 1 group had every-other-week visits, defined as more than 10 days between visits in the first 4 weeks, whereas the other group had weekly visits, defined as at least once a week.

MAIN OUTCOMES MEASURES:: Median time to close.

MAIN RESULTS:: For patients with DFUs, 63.8% of wounds had closed in the weekly visit group after 4 weeks compared with 2.0% in the every-other-week group (P = 2.3 × 10); for patients with VLUs, 78 of 105 wounds (52%) closed in the weekly visit group compared with 0% in the every-other-week group (P = 2.40 × 10). After controlling for all covariates in a Cox regression model, median time to close for weekly patients was 28 days versus 66 days for patients seen every other week. Adjusted median times to close VLUs in the same groups were 25 versus 55 days.

CONCLUSIONS:: More frequent visits can be extremely beneficial, with implications of lower costs and higher quality of life for patients.
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Admin2 · Oct 20, 2012

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zsuzsanna · Oct 26, 2012

I have never understood this idea of leaving ulcers for a week before dressing. I had a deep wound on my shin which turned to gangrene when it was left for a week, and healed within about three months when the dressing was changed every 2-3 days. At one point a skin graft was considered.
So I am speaking from personal experience. It seems obvious to me!But I suppose studies have to prove the obvious.

More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot

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More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

zsuzsanna Active Member

Putting ice on injuries could be doing more damage than good

Want to work with a great team- we need one more Podiatrist. Dunedin

I Can't Take It Anymore.

Increasing Physical Activity Might Be More Effective to Improve Foot Structure and Function Than Wei

Achilles is more than just one tendon

Any free online CPD Logs anymore?

Does Empathy and Warmth Make a Physician Seem More Competent?

Share This Page

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