![]() Churchill Livingstone, New York, pp 151–195įrykberg RG (1998) Diabetic foot ulcers: current concepts. In: Frykberg RG (ed) The high risk foot in diabetes mellitus. Diabetes Care 22:157–162įrykberg RG (1991) Diabetic foot ulcerations. Reiber GE, Vileikyte L, Boyko EJ, del Aguila M, Smith DG, Lavery LA et al (1999) Causal pathways for incident lower extremity ulcers in patients with diabetes from two settings. Nalini S, David G, Armstrong DG, Lipsky BA (2005) Preventing foot ulcers in patients with diabetes. McCallon SK, Knight CA, Valiulus JP, Cunningham MW, McCulloch JM, Farinas LP (2000) Vacuum-assisted closure versus saline-moistened gauze in the healing of postoperative diabetic foot wounds. King H, Aubert RE, Herman WH (1998) Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. ![]() NPWT resulted in lower resource utilization, reduced costs, and acceleration of wound bed preparation for diabetic foot TMA wound in comparison to standard MWT. The average total cost for wound bed preparation of TMA wound was Rs 26,875 ± 6810.5 in MWT group and was significantly higher than compared to Rs 23,089.29 ± 6637.5 in NPWT group ( P = 0.03 95% CI difference 182.54 to 7388.89). Mean duration for wound bed preparation was 24.61 ± 3.20 days (range 20–32 days) in MWT group and significantly higher than NPWT group 9.11 ± 2.38 days (range 6–15 days) ( P = 0.0001 95% CI difference 13.99 to 17.01). MWT group had more OPD visits compare to NPWT (14 vs. Average number of dressing changes performed per patients were 25 (range 20–32) for MWT versus 3 (range 2–5) in NPWT group. MWT group required more debridement (15 vs. All patients were having ankle brachial index (ABI) more than 0.8 or ankle pressures more than 80 mmHg before enrolling to study group. There was no significant difference in both groups regarding age, gender, comorbidities, and number of revascularization procedures. Resource utilization, revascularization procedures, number of secondary procedures (debridement), and total cost for wound bed preparation were calculated in both groups. Twenty-eight patients received negative pressure wound therapy (NPWT) (VAC® KCI, TX, USA) dressing while 28 received standard MWT daily. We retrospectively analyzed 56 patients who underwent transmetatarsal amputation (TMA) for infected diabetic foot from January 2014 to April 2015 at Jain Institute of Vascular sciences (JIVAS), Bangalore. To evaluate resource utilization and direct economic costs of care for patients treated with negative pressure wound therapy (NPWT) in comparison with standard moist wound therapy (MWT) for preparation of diabetic foot TMA wounds for skin grafting.
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