Breakdown of Diabetic Foot Ulcer Care during the First Year of the Pandemic in Poland: A Retrospective National Cohort Study

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dc.contributor.authorKleibert, Marcin
dc.contributor.authorMrozikiewicz-Rakowska, Beata
dc.contributor.authorBąk, Patrycja Małgorzata
dc.contributor.authorBałut, Daniel
dc.contributor.authorZieliński, Jakub
dc.contributor.authorCzupryniak, Leszek
dc.contributor.organizationDepartment of Diabetology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland;en
dc.contributor.organizationInterdisciplinary Centre for Mathematical and Computational Modeling, University of Warsawen
dc.date.accessioned2023-07-07T14:26:30Z
dc.date.available2023-07-07T14:26:30Z
dc.date.issued2022-03-23
dc.description.abstractThe 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%, p = 0.001). There was a decrease in the percentage of hospitalizations related to limb-salvage procedures (from 79.4% to 71.3%, p = 0.001). The opposite tendency was observed among urgent hospital admissions (from 67.0% to 73.2%, p = 0.01), which was related to a significant increase in the number of minor amputations (from 3146 to 4269, p = 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%, p = 0.03). The number of deaths has not changed significantly (from 590.7 to 668.0, p = 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.en
dc.description.sponsorshipThis research was funded by the Publishing Fund of Medical University of Warsaw, grant number: 1WO/N/2022.
dc.identifier.citationKleibert, M.; Mrozikiewicz-Rakowska, B.; Bąk, P.M.; Bałut, D.; Zieliński, J.; Czupryniak, L. Breakdown of Diabetic Foot Ulcer Care during the First Year of the Pandemic in Poland: A Retrospective National Cohort Study. Int. J. Environ. Res. Public Health 2022, 19, 3827. https://doi.org/10.3390/ijerph19073827en
dc.identifier.doi10.3390/ijerph19073827
dc.identifier.issn1660-4601
dc.identifier.urihttps://open.icm.edu.pl/handle/123456789/22685
dc.language.isoen
dc.publisherMDPIen
dc.rightsUznanie autorstwa 3.0 Polska*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/pl/*
dc.subjectCOVID-19en
dc.subjectdiabetic foot ulceren
dc.subjectSARS-CoV-2en
dc.subjectepidemiologyen
dc.subjectmortalityen
dc.subjectpandemicen
dc.subjectamputationen
dc.subjectdeathen
dc.subjectlockdownen
dc.subjecthealthcare systemen
dc.subjectpublic healthen
dc.titleBreakdown of Diabetic Foot Ulcer Care during the First Year of the Pandemic in Poland: A Retrospective National Cohort Studyen
dc.typearticleen
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