Department of Nursing and Podiatry, University of Valencia, 46010 Valencia, Spain.
Department of Nursing and Podiatry, University of Malaga, IBIMA, 29071 Malaga, Spain.
Int J Environ Res Public Health. 2018 Aug 24;15(9):1831. doi: 10.3390/ijerph15091831.
Ulcers are the main cause of hospitalisation and clinical complications in patients with diabetes. We analyse the length and cost of hospital stay of patients with diabetic foot ulcers, taking into consideration that hospitalisation and, if necessary, amputation represent the greatest area of expense to the healthcare system for such patients. This analysis focuses on the treatment provided to these patients in public hospitals in the region of Valencia (Spain), registered in the Spanish Minimum Basic Data Set, during the period 2009⁻2013. The number of acute hospital admissions in this respect is increasing and has a high socioeconomic cost. During the study period, there were over 2700 hospital admissions, an average of nearly 550 per year. The total hospital stay for these patients was 30,886 days, with an average of 11.4 days and a cost of €7633 per admission. Preventive policies and the deployment of multidisciplinary teams are essential to reduce these costs and avoid future complications such as amputation.
溃疡是导致糖尿病患者住院和发生临床并发症的主要原因。我们分析了糖尿病足溃疡患者的住院时间和费用,因为住院治疗,如果需要的话,还包括截肢,这是此类患者给医疗系统带来的最大支出领域。本分析重点关注了 2009 年至 2013 年期间在西班牙巴伦西亚地区公立医院接受治疗的患者,这些患者的信息登记在西班牙基本数据集中。在这方面,急性住院人数不断增加,且具有较高的社会经济成本。在研究期间,有超过 2700 人次的住院治疗,平均每年近 550 人次。这些患者的总住院时间为 30886 天,平均住院时间为 11.4 天,每次住院的费用为 7633 欧元。预防政策和多学科团队的部署对于降低这些成本和避免未来的并发症(如截肢)至关重要。