Multidisciplinary team strategy for treatment of diabetic foot
10.3760/cma.j.cn113855-20221012-00615
- VernacularTitle:多学科团队诊治重症缺血性糖尿病足的策略
- Author:
Bichen REN
1
;
Yuan FANG
;
Xiaomu LI
;
Xiaoguang ZHANG
;
Shuai JU
;
Yunmin CAI
;
Xiaohong SHI
;
Yong ZHANG
;
Jie CUI
;
Jing DING
;
Yingmei ZHANG
;
Yiqun ZHANG
;
Zhiqiang LU
;
Zhihui DONG
;
Weiguo FU
Author Information
1. 复旦大学附属中山医院血管外科，上海 200032
- Keywords:
Diabetic foot;
Quality of life;
Multidisciplinary team
- From:
Chinese Journal of General Surgery
2023;38(4):287-291
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the team construction and treatment strategy of the Diabetic Foot-Multidisciplinary Team.Methods:The clinical data of 19 patients with severe ischemic diabetic foot treated by our Diabetic Foot-Multidisciplinary Team Center from Apr 2021 to Mar 2022 were collected, and the overall amputation rate, above-ankle major amputation rate, minor amputation rate and mortality, Diabetic Foot-Multidisciplinary Team consultation discipline participation rate and treatment participation degree were retrospectively analyzed.Results:Nineteen patients (15 males and 4 females) were enrolled, aged 26 to 94 (68.6±14.2). All were with severe ischemic diabetic foot ulcer:Rutherford grade 5 or up and dysfunction in 2 or more organs. Complications included arteriosclerosis obliterans of the lower extremities in 18 cases, heart diseases in 18, hypertension in 15, and renal insufficiencies in 10. The overall amputation rate was 36.8%, major amputation rate in 21.1%, minor amputation rate in 15.8%, and mortality rate was 15.8%. A total of 16 disciplines participated in Diabetic Foot-Multidisciplinary Team; the main participating disciplines were vascular surgery (19 times), endocrinology (12 times), and cardiology (11 times). The main treatment disciplines were vascular surgery (14 times), plastic surgery (3 times), and cardiology (2 times).Conclusion:For the diagnosis and treatment of diabetic foot, it is necessary to set up a multidisciplinary team as early as possible to control the causes of diabetic foot ulcer, prevent the recurrence of diabetic foot ulcer, reduce the mortality and amputation rate, and improve the quality of life of patients.
