Multidisciplinary management of diabetic foot infection associated with improved 8-year overall survival

• DOI: 10.1016/j.jdiacomp.2024.108719
• Publication Date: 2024-03-03T23:00:48Z
• Authors: Miska Vuorlaakso; Verna Karèn; Juha Kiiski; Jorma Lahtela; Ilkka Kaartinen
• Keywords: Male; Patient Care Team; Aged, 80 and over; 3126; 610; Kaplan-Meier Estimate; Middle Aged; Diabetic Foot; Amputation, Surgical; 3121; Cohort Studies; 616; Humans; Female; Finland; Retrospective Studies; Aged; Follow-Up Studies

Diabetic foot syndrome is a global challenge best managed through multidisciplinary collaboration. This study aimed to investigate the effect of systematic team (MDT) on overall survival and major amputation-free hospitalized patients with diabetic infection (DFI). retrospective cohort was conducted at Tampere University Hospital. Cohorts DFI before after initiation wound ward were compared an 8-year follow-up. Kaplan-Meier analysis revealed significantly higher in post-MDT (37.8 % vs 22.6 %, p < 0.05) Similarly, superior this (31.8 16.9 0.05). Additionally, early amputation associated inferior (35.1 12.0 In multivariable Cox-regression (hazard ratio [HR] 1.38, 95 confidence interval [CI95%] 1.01–1.87), (HR 1.64, CI95% 1.14–2.34) diagnosed peripheral artery disease 2.23, 1.61–3.09), congestive heart failure 2.13, 1.47–3.08), or moderate kidney 1.95, 1.34–2.84) identified as significant risk factors affecting survival. After MDT approach we found improved long-term Multidisciplinary therefore highly recommended for managing DFI.