文档介绍：Diabetic Foot Care Marianne Misiewicz , DPM, AACFAS Columbia, MO STATISTICS ? 24 million Americans have diabetes, approximately 7% of the population (CDC 2008) ? 15-25% will develop ulcers on their feet. ? 20% of diabetics admitted to hospitals because of foot problems ? Nearly $98 billion spent annually for direct and indirect medical costs(1997). O’ Brien, JA, et al. “ Direct Medical Costs plications Resulting from Type 2 Diabetes in the US. ” Diabetes Care vol 21 #7, July 1998. STATISTICS ? 625,000 new cases of diabetes/year ? 178,000 deaths/year from disease and plications. ? Nearly half of nontraumatic LEA caused by diabetes. ? Average acute hospital cost in 1996 for a foot ulcer 9,910. ? 5 year survival rate ~50% for BKA O’ Brien, JA, et al. “ Direct Medical Costs plications Resulting from Type 2 Diabetes in the US. ” Diabetes Care vol 21 #7, July 1998. STATISTICS ?~50% of diabetics with LEA require 2 nd LEA within 5 years of initial amputation. ? Often require care outside of hospitalization (80%) including: Prosthetic device Physician visits Wound care/Home Health O’ Brien, JA, et al. “ Direct Medical Costs plications Resulting from Type 2 Diabetes in the US. ” Diabetes Care vol 21 #7, July 1998. STATISTICS ? Greater than 50% of all non-traumatic amputations are diabetics ? billion dollars for hospital and surgical costs per year ? 5 year survival rate ~50% s/p amputation. STATISTICS ? Diabetes is the 4 th leading cause of death by disease in the United States ? Diabetics are 2-4 times more likely to experience heart disease and strokes ? Is the leading cause of ESRD ? Is the leading cause of blindness in adults > 75 y/o . Sussman , KE. "The Diabetic Foot Problem-A Failed System of Health Care?" Diabetes Res Clin Pract 1992;17:1-8 ?~53% of family physicians reported adherence to semi-annual foot exams for patients with Type II diabetes ?~64% reported adherence with Type I diabetics.