Length of stay and readmissions for people with diabetes-related foot ulceration admitted to two public tertiary referral hospitals in Australia

IF 0.6 Q4 DERMATOLOGY Wound Practice and Research Pub Date : 2022-06-01 DOI:10.33235/wpr.30.2.82-90

Sarah M Manewell, S. Aitken, V. Nube, Anna M. Crawford, M. Constantino, S. Twigg, H. Menz, C. Sherrington, S. Paul

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引用次数: 3

Abstract

Aims/hypothesis To identify hospital admissions and length of stay (LOS) and to investigate readmissions, cumulative LOS and associated factors for diabetes-related foot ulceration (DFU). Methods Routinely-collected hospital admission data were used to identify DFU-related hospital admissions in two public hospitals between 2012–17. Readmission and cumulative LOS were investigated using negative binomial regression. Results DFU-related admission was required by 749 patients. Median LOS was 8–10 days (stable across 2012–17). Readmission within 28 days was required by 62 patients (8%) and was significantly more likely with increasing comorbidities (incidence rate ratio [IRR] 1.38, 95% confidence intervals [95% CI] 1.02–1.88). Readmission within 1 year was required by 206 patients (28%), and was significantly more likely for males, unplanned admissions and increasing revascularisation requirements (IRR 1.34–1.70), and significantly less likely for those requiring minor and major amputation (IRR 0.33–0.64). The

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澳大利亚两家公立三级转诊医院收治的与糖尿病有关的足部溃疡患者的住院时间和再入院情况

目的/假设确定住院人数和住院时间（LOS），并调查糖尿病相关足部溃疡（DFU）的再次入院、累积LOS和相关因素。方法使用常规收集的入院数据来确定2012-2017年间两家公立医院与DFU相关的入院情况。使用负二项回归法对重新测量和累积LOS进行了研究。结果749例患者需要DFU相关入院治疗。服务水平中位数为8-10天（2012-2017年稳定）。62名患者（8%）需要在28天内重新进行检查，并且随着合并症的增加（发病率比[IRR]1.38，95%置信区间[95%CI]1.02–1.88），重新进行检查的可能性显著增加。206名患者（28%）需要在1年内重新进行检查，男性、计划外入院和血运重建要求增加的可能性显著更大（IRR1.34–1.70），对于那些需要小截肢和大截肢的人来说，这种可能性要小得多（内部收益率0.33-0.64）

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