Pre-hospital delay in patients with diabetic foot problems: influencing factors and subsequent quality of care

Diabetic Medicine : a Journal of the British Diabetic Association
J YanM Sun

Abstract

To assess pre-hospital patient delay and its associated variables in patients with diabetic foot problems. We classified 270 patients with diabetic foot problems retrospectively based on the distribution of pre-hospital delay. Clinical, demographic and socio-economic data were collected. Logistic regression analysis was performed to examine independent associations with patient delay. The median pre-hospital delay time was 46.49 days. Patients reported short (≤ 1 week; 77 patients, 28.5%), moderate (> 1 week and ≤ 1 month; 106 patients, 39.3%) and long delays (> 1 month; 87 patients, 32.2%). In a univariate analysis, nine variables were associated with a longer delay (P < 0.05): (1) no previous ulcer; (2) no health insurance; (3) poor housing conditions; (4) low income level; (5) low educational level; (6) infrequent foot inspection; (7) few follow-up medical visits; (8) absence of diabetic foot education; (9) lack of knowledge of foot lesion warning signals. A multivariate analysis showed that absence of diabetic foot education (odds ratio 2.70, 95% CI 1.03-7.06, P = 0.043) and lack of knowledge of foot lesion warning signals (odds ratio 2.14, 95% CI 1.16-3.94, P = 0.015) were independent predictors of long patient delay. Long...Continue Reading

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Citations

Jun 2, 2015·Primary Care Diabetes·Juma M Al-KaabiAbdul-Kader Souid
Apr 27, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·C J W Pankhurst, M E Edmonds
Dec 13, 2017·The Journal of Nursing Research : JNR·Yen-Fan ChinLi-Chueh Weng
Feb 23, 2019·Journal of Clinical Nursing·Yen-Fan ChinChih-Ching Wang
Nov 19, 2019·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Ye-Na Lee, Sung Ok Chang
Feb 29, 2020·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Xiao-Dan WuHui-Ying Qin
Nov 6, 2018·The Journal of Nursing Research : JNR·Yen-Fan ChinLi-Chueh Weng
Jul 19, 2019·Journal of Diabetes Science and Technology·Brian M SchmidtJames S Wrobel
Jan 5, 2019·Journal of Vascular Surgery·Caitlin W HicksChristopher J Abularrage
Jul 29, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Andrew T O NickinsonRob D Sayers

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