Assessment of healthcare utilization in diabetes patients according to foot risk level.

Primary care diabetes Pub Date : 2024-12-24 DOI:10.1016/j.pcd.2024.12.005

Cristina Blaya Fernández, Alba Gracia-Sánchez, Sara Zúnica-García, Esther Chicharro-Luna

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Abstract

Aims: To quantify healthcare service utilization over the past two years according to the foot risk level in patients with type 2 diabetes (T2DM).

Methodology: A descriptive observational study was conducted in a Primary Care Nursing consultation, evaluating patients with T2DM through examination and collection of sociodemographic and clinical data.

Results: A total of 153 patients were included. The prevalence of underdiagnosis was 71.2 % for neuropathy and 59.5 % for peripheral arterial disease. Patients with a high foot risk level had more consultations in PC Nursing for foot-related issues (2022 y 2023; p=<0.001). The number of hospitalization days in 2022 was also higher in patients with a high foot risk. Patients with diagnosed neuropathy consistently utilized healthcare services more frequently than those with undiagnosed or no neuropathy across most categories.

Conclusion: Patients with a high foot risk level consume more healthcare resources. Early detection and management of diabetic foot is crucial to avoid underdiagnosis, optimize resource use, and prevent serious complications.

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糖尿病患者足部危险程度对医疗保健利用的评价。

目的：根据2型糖尿病（T2DM）患者足部风险水平，量化过去两年的医疗保健服务利用情况。方法：在初级保健护理咨询中进行了一项描述性观察研究，通过检查和收集社会人口学和临床数据来评估2型糖尿病患者。结果：共纳入153例患者。神经病变的漏诊率为71.2%，外周动脉疾病为59.5%。高足部风险水平的患者在PC护理中有更多的足部相关问题咨询(2022 - 2023；p=结论：足部危险程度高的患者消耗更多的医疗资源。糖尿病足的早期发现和管理对于避免漏诊、优化资源利用和预防严重并发症至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Primary care diabetes

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