کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3104400 1581730 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A clinician's guide to the treatment of foot burns occurring in diabetic patients
ترجمه فارسی عنوان
یک راهنمای پزشک برای درمان سوختگی پایینی در بیماران دیابتی
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی

IntroductionDiabetes mellitus affects 25.8 million Americans and is predicted to almost double by 2050. The presence of diabetes complicates hospital courses because of the microvascular complications associated with disease progression. Patients with diabetes represent 18.3% of annual burn admissions to our unit and 27% have burns to the feet. The purpose of this project was to develop an evidence-based guideline for care of the patient with diabetes and foot burnsMethodsA multidisciplinary group was charged with developing an evidence-based guideline for the treatment of foot burns in patients with diabetes. Evidence was evaluated in the areas of diabetes, burn care, hyperbaric medicine, care of diabetic foot wounds and physical therapy. After guideline development and approval, key aspects were incorporated into order sets.ResultsKey aspects of this guideline are the ability to identify patients with undiagnosed diabetes, assess diabetic control, optimize glycemic and metabolic control, optimize burn wound management, treat microvascular disease, and provide education and a discharge plan. Evaluated outcomes are glycemic control, length of stay, complication rates, amputation rates, infection rates and the use of hyperbaric oxygen.ConclusionsBest outcomes for this high risk population will be attainable with an evidence based guideline.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Burns - Volume 40, Issue 8, December 2014, Pages 1696–1701
نویسندگان
, , , , , , , ,