英文糖尿病足课件.ppt

英文糖尿病足DiabeticFootCareMarianneMisiewicz,DPM,AACFASColumbia,MO

英文糖尿病足STATISTICS24millionAmericanshavediabetes,approximately7%ofthepopulation(CDC2008)15-25%willdevelopulcersontheirfeet.20%ofdiabeticsadmittedtohospitalsbecauseoffootproblemsNearly$98billionspentannuallyfordirectandindirectmedicalcosts(1997). O’Brien,JA,etal.“DirectMedicalCostsofComplicationsResultingfromType2DiabetesintheUS.”DiabetesCarevol21#7,July1998.

英文糖尿病足STATISTICS625,000newcasesofdiabetes/year178,000deaths/yearfromdiseaseandrelatedcomplications.NearlyhalfofnontraumaticLEAcausedbydiabetes.Averageacutehospitalcostin1996forafootulcer9,910.5yearsurvivalrate~50%forBKA O’Brien,JA,etal.“DirectMedicalCostsofComplicationsResultingfromType2DiabetesintheUS.”DiabetesCarevol21#7,July1998.

英文糖尿病足STATISTICS~50%ofdiabeticswithLEArequire2ndLEAwithin5yearsofinitialamputation.Oftenrequirecareoutsideofhospitalization(80%)including: Prostheticdevice Physicianvisits Woundcare/HomeHealthO’Brien,JA,etal.“DirectMedicalCostsofComplicationsResultingfromType2DiabetesintheUS.”DiabetesCarevol21#7,July1998.

英文糖尿病足STATISTICSGreaterthan50%ofallnon-traumaticamputationsarediabetics0.5billiondollarsforhospitalandsurgicalcostsperyear5yearsurvivalrate~50%s/pamputation.

英文糖尿病足STATISTICSDiabetesisthe4thleadingcauseofdeathbydiseaseintheUnitedStatesDiabeticsare2-4timesmorelikelytoexperienceheartdiseaseandstrokesIstheleadingcauseofESRDIstheleadingcauseofblindnessinadults75y/o.

英文糖尿病足

英文糖尿病足Sussman,KE.TheDiabeticFootProblem-AFailedSystemofHealthCare?DiabetesResClinPract1992;17:1-8~53%offamilyphysiciansreportedadherencetosemi-annualfootexamsforpatientswithTypeIIdiabetes~64%reportedadherencewithTypeIdiabetics.

英文糖尿病足Sussman,KE.TheDiabeticFootProblem-AFailedSystemof