Breakdown of Diabetic Foot Ulcer Care during the First Year of the Pandemic in Poland: A Retrospective National Cohort Study
The COVID-19 pandemic revealed a breakdown of the system of DFU patient care. This retrospective national cohort study analyses the epidemiological status of DFU patients in relation to urgent and elective hospitalizations, amputation rates, and deaths in Poland from 2017 to 2019, and during 2020 wh...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-03, Vol.19 (7), p.3827 |
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| container_title | International journal of environmental research and public health |
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| creator | Kleibert, Marcin Mrozikiewicz-Rakowska, Beata Bąk, Patrycja Małgorzata Bałut, Daniel Zieliński, Jakub Czupryniak, Leszek |
| description | The COVID-19 pandemic revealed a breakdown of the system of DFU patient care. This retrospective national cohort study analyses the epidemiological status of DFU patients in relation to urgent and elective hospitalizations, amputation rates, and deaths in Poland from 2017 to 2019, and during 2020 when the COVID-19 pandemic began. The data were obtained from national medical records gathered by the National Health Fund (NHF). Discharge diagnoses were categorized according to ICD-10 and ICD-9 codes. Analysis of the data showed a statistically significant decrease in elective hospital admissions (from 29.6% to 26.3%,
= 0.001). There was a decrease in the percentage of hospitalizations related to limb-salvage procedures (from 79.4% to 71.3%,
= 0.001). The opposite tendency was observed among urgent hospital admissions (from 67.0% to 73.2%,
= 0.01), which was related to a significant increase in the number of minor amputations (from 3146 to 4269,
= 0.017). This rise was in parallel with the increase in the percentage of patients who died during hospitalization due to DFU (from 3.9% to 4.8%,
= 0.03). The number of deaths has not changed significantly (from 590.7 to 668.0,
= 0.26). The results of the conducted analyses confirm the negative tendencies in the medical care of patients with DFU during the first year of the pandemic in Poland. Changes in therapy schemes and stronger patient support following this period are necessary to avoid further complications in patients with DFU. |
| doi_str_mv | 10.3390/ijerph19073827 |
| format | Article |
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= 0.001). There was a decrease in the percentage of hospitalizations related to limb-salvage procedures (from 79.4% to 71.3%,
= 0.001). The opposite tendency was observed among urgent hospital admissions (from 67.0% to 73.2%,
= 0.01), which was related to a significant increase in the number of minor amputations (from 3146 to 4269,
= 0.017). This rise was in parallel with the increase in the percentage of patients who died during hospitalization due to DFU (from 3.9% to 4.8%,
= 0.03). The number of deaths has not changed significantly (from 590.7 to 668.0,
= 0.26). The results of the conducted analyses confirm the negative tendencies in the medical care of patients with DFU during the first year of the pandemic in Poland. Changes in therapy schemes and stronger patient support following this period are necessary to avoid further complications in patients with DFU.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19073827</identifier><identifier>PMID: 35409510</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Amputation ; Ankle ; Breakdown ; Classification ; Cohort analysis ; Cohort Studies ; Complications ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Diabetes ; Diabetes Mellitus ; Diabetic Foot - epidemiology ; Diabetic Foot - therapy ; Epidemiology ; Fatalities ; Foot diseases ; Health services ; Hospitalization ; Hospitals ; Humans ; Infections ; Leg ulcers ; Medical records ; Mortality ; Pandemics ; Patients ; Poland - epidemiology ; Retrospective Studies ; Severe acute respiratory syndrome coronavirus 2 ; Statistical analysis</subject><ispartof>International journal of environmental research and public health, 2022-03, Vol.19 (7), p.3827</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-5903f2a75b11234530c2c27f4f32bcfe58a28dfec104ad0e860f789dd2e97db23</citedby><cites>FETCH-LOGICAL-c418t-5903f2a75b11234530c2c27f4f32bcfe58a28dfec104ad0e860f789dd2e97db23</cites><orcidid>0000-0001-8259-0718 ; 0000-0002-1160-9204 ; 0000-0003-1562-8450</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997735/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997735/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35409510$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kleibert, Marcin</creatorcontrib><creatorcontrib>Mrozikiewicz-Rakowska, Beata</creatorcontrib><creatorcontrib>Bąk, Patrycja Małgorzata</creatorcontrib><creatorcontrib>Bałut, Daniel</creatorcontrib><creatorcontrib>Zieliński, Jakub</creatorcontrib><creatorcontrib>Czupryniak, Leszek</creatorcontrib><title>Breakdown of Diabetic Foot Ulcer Care during the First Year of the Pandemic in Poland: A Retrospective National Cohort Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The COVID-19 pandemic revealed a breakdown of the system of DFU patient care. This retrospective national cohort study analyses the epidemiological status of DFU patients in relation to urgent and elective hospitalizations, amputation rates, and deaths in Poland from 2017 to 2019, and during 2020 when the COVID-19 pandemic began. The data were obtained from national medical records gathered by the National Health Fund (NHF). Discharge diagnoses were categorized according to ICD-10 and ICD-9 codes. Analysis of the data showed a statistically significant decrease in elective hospital admissions (from 29.6% to 26.3%,
= 0.001). There was a decrease in the percentage of hospitalizations related to limb-salvage procedures (from 79.4% to 71.3%,
= 0.001). The opposite tendency was observed among urgent hospital admissions (from 67.0% to 73.2%,
= 0.01), which was related to a significant increase in the number of minor amputations (from 3146 to 4269,
= 0.017). This rise was in parallel with the increase in the percentage of patients who died during hospitalization due to DFU (from 3.9% to 4.8%,
= 0.03). The number of deaths has not changed significantly (from 590.7 to 668.0,
= 0.26). The results of the conducted analyses confirm the negative tendencies in the medical care of patients with DFU during the first year of the pandemic in Poland. Changes in therapy schemes and stronger patient support following this period are necessary to avoid further complications in patients with DFU.</description><subject>Amputation</subject><subject>Ankle</subject><subject>Breakdown</subject><subject>Classification</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Complications</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Diabetes</subject><subject>Diabetes Mellitus</subject><subject>Diabetic Foot - epidemiology</subject><subject>Diabetic Foot - therapy</subject><subject>Epidemiology</subject><subject>Fatalities</subject><subject>Foot diseases</subject><subject>Health services</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infections</subject><subject>Leg ulcers</subject><subject>Medical records</subject><subject>Mortality</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Poland - epidemiology</subject><subject>Retrospective Studies</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Statistical analysis</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1PFDEYxidGIohePZomXrws9mM6bT2Y4OoqCVGicvDUdNq3bNfZ6dJ2MCT-8XSzQMBTv37Pk_fp0zSvCD5iTOF3YQVpsyQKCyapeNIckK7Ds7bD5OmD_X7zPOcVxky2nXrW7DPeYsUJPmj-fUxg_rj4d0TRo0_B9FCCRYsYCzofLCQ0NwmQm1IYL1BZAlqElAv6DSZtFdubMzM6WFdVGNFZHOrpPTpGP6CkmDdgS7gC9M2UEEczoHlcxlTQzzK56xfNnjdDhpe362Fzvvj8a_51dvr9y8n8-HRmWyLLjCvMPDWC94RQ1nKGLbVU-NYz2lsPXBoqnQdLcGscBtlhL6RyjoISrqfssPmw891M_RqchbEkM-hNCmuTrnU0QT9-GcNSX8QrLZUSgvFq8PbWIMXLCXLR65AtDDUrxClr2rWKS0k5ruib_9BVnFJNvqMwxR0XlTraUbb-UU7g74chWG-L1Y-LrYLXDyPc43dNshvqd6CT</recordid><startdate>20220323</startdate><enddate>20220323</enddate><creator>Kleibert, Marcin</creator><creator>Mrozikiewicz-Rakowska, Beata</creator><creator>Bąk, Patrycja Małgorzata</creator><creator>Bałut, Daniel</creator><creator>Zieliński, Jakub</creator><creator>Czupryniak, Leszek</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8259-0718</orcidid><orcidid>https://orcid.org/0000-0002-1160-9204</orcidid><orcidid>https://orcid.org/0000-0003-1562-8450</orcidid></search><sort><creationdate>20220323</creationdate><title>Breakdown of Diabetic Foot Ulcer Care during the First Year of the Pandemic in Poland: A Retrospective National Cohort Study</title><author>Kleibert, Marcin ; 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This retrospective national cohort study analyses the epidemiological status of DFU patients in relation to urgent and elective hospitalizations, amputation rates, and deaths in Poland from 2017 to 2019, and during 2020 when the COVID-19 pandemic began. The data were obtained from national medical records gathered by the National Health Fund (NHF). Discharge diagnoses were categorized according to ICD-10 and ICD-9 codes. Analysis of the data showed a statistically significant decrease in elective hospital admissions (from 29.6% to 26.3%,
= 0.001). There was a decrease in the percentage of hospitalizations related to limb-salvage procedures (from 79.4% to 71.3%,
= 0.001). The opposite tendency was observed among urgent hospital admissions (from 67.0% to 73.2%,
= 0.01), which was related to a significant increase in the number of minor amputations (from 3146 to 4269,
= 0.017). This rise was in parallel with the increase in the percentage of patients who died during hospitalization due to DFU (from 3.9% to 4.8%,
= 0.03). The number of deaths has not changed significantly (from 590.7 to 668.0,
= 0.26). The results of the conducted analyses confirm the negative tendencies in the medical care of patients with DFU during the first year of the pandemic in Poland. Changes in therapy schemes and stronger patient support following this period are necessary to avoid further complications in patients with DFU.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35409510</pmid><doi>10.3390/ijerph19073827</doi><orcidid>https://orcid.org/0000-0001-8259-0718</orcidid><orcidid>https://orcid.org/0000-0002-1160-9204</orcidid><orcidid>https://orcid.org/0000-0003-1562-8450</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Amputation Ankle Breakdown Classification Cohort analysis Cohort Studies Complications Coronaviruses COVID-19 COVID-19 - epidemiology Diabetes Diabetes Mellitus Diabetic Foot - epidemiology Diabetic Foot - therapy Epidemiology Fatalities Foot diseases Health services Hospitalization Hospitals Humans Infections Leg ulcers Medical records Mortality Pandemics Patients Poland - epidemiology Retrospective Studies Severe acute respiratory syndrome coronavirus 2 Statistical analysis |
| title | Breakdown of Diabetic Foot Ulcer Care during the First Year of the Pandemic in Poland: A Retrospective National Cohort Study |
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