Current practice in the assessment and management of acute diabetes-related foot complications

A retrospective audit of client histories from 1 April 2004 to 31 March 2005 was conducted. Assessment, investigations on admission, management, length of stay and outcomes were assessed and compared with evidence-based guidelines. A total of 62 clients with 115 admissions were identified. The findi...

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Bibliographic Details
Published in:Australian health review 2007-05, Vol.31 (2), p.217-222
Main Authors: Jessup, Rebecca L, Spring, Anita A, Grollo, Aspa
Format: Article
Language:English
Subjects:
Acute Disease
Amputation
Antibiotics
Audits
Care and treatment
Clinical outcomes
Clinical practice guidelines
Codes
Diabetes
Diabetic foot
Diabetic Foot - complications
Diabetic Foot - diagnosis
Diabetic Foot - therapy
Disease management
Evaluation
Evidence-based medicine
Foot diseases
Health administration
Hospitals
Humans
Leg ulcers
Length of stay
Medical Audit
Medical care
Mortality
Needs assessment
Outcome and process assessment (Health Care)
Outpatient care facilities
Practice
Practice Patterns, Physicians' - standards
Retrospective Studies
Risk assessment
Studies
Victoria
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Summary:A retrospective audit of client histories from 1 April 2004 to 31 March 2005 was conducted. Assessment, investigations on admission, management, length of stay and outcomes were assessed and compared with evidence-based guidelines. A total of 62 clients with 115 admissions were identified. The finding that HBA1c (glycated haemoglobin) levels were measured on admission 50% of the time suggested there is significant variability in assessment, investigation and management of acute diabetes-related foot complications. There is a need to better utilise evidence-based clinical guidelines, and for greater emphasis on linking individuals who are at risk of hospitalisation into appropriate outpatient services to improve outcomes. (author abstract)
ISSN:0156-5788
1449-8944
DOI:10.1071/AH070217