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Organization of wound healing services: The impact on lowering the diabetes foot amputation rate in a ten-year review and the importance of early debridement 

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Presentation on theme: "Organization of wound healing services: The impact on lowering the diabetes foot amputation rate in a ten-year review and the importance of early debridement "— Presentation transcript:

1 Organization of wound healing services: The impact on lowering the diabetes foot amputation rate in a ten-year review and the importance of early debridement  Cherng-Ru Hsu, Chang-Cheng Chang, Yu-Tsung Chen, Wei-Nung Lin, Mei-Yen Chen  Diabetes Research and Clinical Practice  Volume 109, Issue 1, Pages (July 2015) DOI: /j.diabres Copyright © 2015 Elsevier Ireland Ltd Terms and Conditions

2 Fig. 1 Multidiscipline Wound Care Team. The members of the wound care center and other specialists from different departments are integrated into a multidisciplinary team, which works on individual cases, general protocol, and education and prevention in the community. Diabetes Research and Clinical Practice  , 77-84DOI: ( /j.diabres ) Copyright © 2015 Elsevier Ireland Ltd Terms and Conditions

3 Fig. 2 The flow chart for inpatient consultations. After the initiation of the wound care service, the physician will meet the patient at the wound care center or bedside. Depending on the patient's wound condition, wound screening, debridement, wound care advice, and education will be provided step-by-step. Diabetes Research and Clinical Practice  , 77-84DOI: ( /j.diabres ) Copyright © 2015 Elsevier Ireland Ltd Terms and Conditions

4 Fig. 3 Incidence of total diabetes foot and incidence of hospitalized diabetes foot (King's college classification IV) among diabetic patients in Chang Gung Memorial Hospital, Chia Yi per year. Diabetes Research and Clinical Practice  , 77-84DOI: ( /j.diabres ) Copyright © 2015 Elsevier Ireland Ltd Terms and Conditions

5 Fig. 4 (a) Average lower extremity amputation (LEA) rate for diabetes foot patients between 2004 to 2009, and 2010 to 2013 interval in Chang Gung Memorial Hospital, Chia Yi. (b) Lower extremity amputation (LEA) rate diabetes foot patients from hospitalization only, or diabetes foot patients from ER, outpatient department, and hospitalization between a ten-year interval at the Chang Gung Memorial Hospital, Chia Yi. Diabetes Research and Clinical Practice  , 77-84DOI: ( /j.diabres ) Copyright © 2015 Elsevier Ireland Ltd Terms and Conditions

6 Fig. 5 Lower extremity amputation (LEA) rate for DM patients between a ten-year interval at the Chang Gung Memorial Hospital, Chia Yi. Diabetes Research and Clinical Practice  , 77-84DOI: ( /j.diabres ) Copyright © 2015 Elsevier Ireland Ltd Terms and Conditions


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