TY - JOUR
T1 - Characteristics of Diabetic Foot Ulcer Patients Pre- and During COVID-19 Pandemic
T2 - Lessons Learnt From a National Referral Hospital in Indonesia
AU - Yunir, Em
AU - Tarigan, Tri Juli Edi
AU - Iswati, Eni
AU - Sarumpaet, Angela
AU - Christabel, Eunike Vania
AU - Widiyanti, Delina
AU - Wisnu, Wismandari
AU - Purnamasari, Dyah
AU - Kurniawan, Farid
AU - Rosana, Martha
AU - Anestherita, Fitri
AU - Muradi, Akhmadu
AU - Tahapary, Dicky L.
N1 - Funding Information:
The author would like to thank all parties that have been involved in setting up the diabetic foot registry. The author(s) received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© The Author(s) 2022.
PY - 2022/3
Y1 - 2022/3
N2 - Background: Diabetic foot ulcer (DFU) is one of the most terrifying diabetic complications for patients, due to the high mortality rate and risk for amputation. During the COVID-19 pandemic, many diabetic patients limited their visits to the hospital, resulting in delays for treatment especially in emergency cases. Objective: This study aimed to compare the characteristics of patients with DFU pre- and during COVID-19 pandemic period. Methods: This study was a retrospective cohort study using foot registry data. We compared our patients’ characteristics pre-COVID-19 pandemic period (1 March 2019-28 February 2020) and during COVID-19 pandemic period (1 March 2020-28 February 2021). Results: Cohorts of 84 and 71 patients with DFU pre- and during COVID-19 pandemic period, respectively, were included in this study. High infection grade (66.7% vs 83.1%, P =.032), osteomyelitis event (72.6% vs 87.3%, P =.04), leukocyte count (15 565.0/μL vs 20 280.0/μL, P =.002), neutrophil-to-lymphocyte ratio (7.7 vs 12.1, P =.008), waiting time-to-surgery (39.0 h vs 78.5 h, P =.034), and number of major amputation (20.2% vs 39.4%, P =.014) were significantly higher during the COVID-19 pandemic period. Conclusion: During the COVID-19 pandemic, patients with DFU had more severe infection, higher proportion of osteomyelitis, longer waiting time for getting surgical intervention, and higher incidence of major amputation.
AB - Background: Diabetic foot ulcer (DFU) is one of the most terrifying diabetic complications for patients, due to the high mortality rate and risk for amputation. During the COVID-19 pandemic, many diabetic patients limited their visits to the hospital, resulting in delays for treatment especially in emergency cases. Objective: This study aimed to compare the characteristics of patients with DFU pre- and during COVID-19 pandemic period. Methods: This study was a retrospective cohort study using foot registry data. We compared our patients’ characteristics pre-COVID-19 pandemic period (1 March 2019-28 February 2020) and during COVID-19 pandemic period (1 March 2020-28 February 2021). Results: Cohorts of 84 and 71 patients with DFU pre- and during COVID-19 pandemic period, respectively, were included in this study. High infection grade (66.7% vs 83.1%, P =.032), osteomyelitis event (72.6% vs 87.3%, P =.04), leukocyte count (15 565.0/μL vs 20 280.0/μL, P =.002), neutrophil-to-lymphocyte ratio (7.7 vs 12.1, P =.008), waiting time-to-surgery (39.0 h vs 78.5 h, P =.034), and number of major amputation (20.2% vs 39.4%, P =.014) were significantly higher during the COVID-19 pandemic period. Conclusion: During the COVID-19 pandemic, patients with DFU had more severe infection, higher proportion of osteomyelitis, longer waiting time for getting surgical intervention, and higher incidence of major amputation.
KW - amputation
KW - COVID-19
KW - diabetic foot ulcer
KW - infection
KW - mortality
KW - waiting time to surgery
UR - http://www.scopus.com/inward/record.url?scp=85127249069&partnerID=8YFLogxK
U2 - 10.1177/21501319221089767
DO - 10.1177/21501319221089767
M3 - Article
C2 - 35343835
AN - SCOPUS:85127249069
SN - 2150-1319
VL - 13
JO - Journal of Primary Care and Community Health
JF - Journal of Primary Care and Community Health
ER -