Increased risk of hospital-acquired foot ulcers in people with diabetes: large prospective study and implications for practice

BMJ Open Diabetes Research & Care
Frances WensleyGerry Rayman

Abstract

Diabetes increases the risk of costly and potentially preventable hospital-acquired pressure ulceration. Given that peripheral arterial disease and neuropathy, important risk factors for foot ulceration, are more common in people with diabetes, their risk of hospital-acquired foot ulceration (HAFU) in particular may be even greater. This study aims to determine this risk. Using data collected over 2 years from all admissions to the Ipswich Hospital NHS Trust, we conducted a prospective multilevel regression analysis of the risk of HAFU in 5043 admissions of people with diabetes versus 23 599 without diabetes. Patients over 50 years who developed HAFU at least 48 hours after admission were included in analyses. Progressive adjustment for important risk factors and subgroup analyses were conducted to compare patients with and without diabetes. There were significant differences between patients with and without diabetes among a range of covariates including sex, Comorbidity Score, and length of stay (p value <0.001). After progressive adjustment for age, sex, and other risk factors, there persisted a significant increase risk of HAFU in people with diabetes (OR 2.24; 95% CI 1.80 to 2.69). There were no substantial differences bet...Continue Reading

References

Dec 1, 1994·Research in Nursing & Health·B J Braden, N Bergstrom
Apr 15, 2004·Age and Ageing·Gerry BennettJohn Posnett
Mar 24, 2006·Journal of Advanced Nursing·Pedro L Pancorbo-HidalgoCarmen Alvarez-Nieto
Aug 7, 2012·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Peng LiuHong-Lin Chen
Feb 5, 2013·International Journal of Nursing Studies·Susanne ColemanJane Nixon
Apr 25, 2014·BMJ : British Medical Journal·Gerry StansbyUNKNOWN Guideline Development Group
Dec 30, 2014·Diabetes Care·UNKNOWN American Diabetes Association
Mar 4, 2015·Annals of Internal Medicine·Amir QaseemUNKNOWN Clinical Guidelines Committee of the American College of Physicians
May 7, 2015·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Barbara DelmoreElizabeth A Ayello

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Citations

Sep 10, 2019·Advances in Skin & Wound Care·Barbara DelmoreAndy S Chu
Jan 17, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Ketan DhatariyaGerry Rayman
Nov 2, 2020·Critical Care Nursing Clinics of North America·Barbara Delmore, Elizabeth A Ayello

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BETA
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DATIX

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