All Feet on Deck: The Role of Podiatry During the COVID-19 Pandemic: Preventing Hospitalizations in an Overburdened Health-Care System, Reducing Amputation and Death in People with Diabetes.
All Feet on Deck: The Role of Podiatry During the COVID-19 Pandemic: Preventing Hospitalizations in an Overburdened Health-Care System, Reducing Amputation and Death in People with Diabetes.
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DOI：
10.7547/20-051
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发表时间：
2023-03-01
影响因子：
0.7
通讯作者：
Armstrong, David G
中科院分区：
文献类型：
--
作者：
Rogers, Lee C;Lavery, Lawrence A;Armstrong, David G
2019年的冠状病毒病大流行正在推动医疗保健系统的重大变革，并破坏了糖尿病肢体保护的最佳实践，使大量患者无法获得护理。糖尿病和足部溃疡患者感染、住院、截肢和死亡的风险增加。足病护理与更少的糖尿病相关截肢、急诊、住院、住院时间和费用有关。然而，足科医生必须动员和采用从医院护理转向社区护理的新模式。实施拟议的大流行性糖尿病足分诊系统，家庭访视，更高灵敏度的办公室访视，远程医疗和远程患者监测可以帮助足科医生管理患者，同时降低2019年冠状病毒病的风险。足科医生在大流行期间的目标是通过保持糖尿病足和伤口患者的安全、功能和在家来减轻卫生保健系统的负担。
The coronavirus disease of 2019 pandemic is driving significant change in the health-care system and disrupting the best practices for diabetic limb preservation, leaving large numbers of patients without care. Patients with diabetes and foot ulcers are at increased risk for infections, hospitalization, amputations, and death. Podiatric care is associated with fewer diabetes-related amputations, emergency room visits, hospitalizations, length-of-stay, and costs. However, podiatrists must mobilize and adopt the new paradigm of shifts away from hospital care to community-based care. Implementing the proposed Pandemic Diabetic Foot Triage System, in-home visits, higher acuity office visits, telemedicine, and remote patient monitoring can help podiatrists manage patients while reducing the coronavirus disease of 2019 risk. The goal of podiatrists during the pandemic is to reduce the burden on the health-care system by keeping diabetic foot and wound patients safe, functional, and at home.