*Department of Orthopaedics, University of Texas Health Science Center at San Antonio, San Antonio, TX.
†Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
J Am Podiatr Med Assoc. 2023 Mar-Apr;113(2). doi: 10.7547/20-051.
The coronavirus disease of 2019 pandemic is driving significant change in the health-care system and disrupting the best practices for diabetic limb preservation, leaving large numbers of patients without care. Patients with diabetes and foot ulcers are at increased risk for infections, hospitalization, amputations, and death. Podiatric care is associated with fewer diabetes-related amputations, emergency room visits, hospitalizations, length-of-stay, and costs. However, podiatrists must mobilize and adopt the new paradigm of shifts away from hospital care to community-based care. Implementing the proposed Pandemic Diabetic Foot Triage System, in-home visits, higher acuity office visits, telemedicine, and remote patient monitoring can help podiatrists manage patients while reducing the coronavirus disease of 2019 risk. The goal of podiatrists during the pandemic is to reduce the burden on the health-care system by keeping diabetic foot and wound patients safe, functional, and at home.
2019 年冠状病毒病大流行正在推动医疗保健系统发生重大变化，并扰乱了糖尿病肢体保存的最佳实践，导致大量患者得不到治疗。患有糖尿病和足部溃疡的患者感染、住院、截肢和死亡的风险增加。足部医学护理与较少的糖尿病相关截肢、急诊就诊、住院、住院时间和费用有关。然而，足病医生必须动员起来，采用从医院护理转向以社区为基础的护理新模式。实施拟议的大流行糖尿病足分诊系统、上门就诊、更高严重程度的门诊就诊、远程医疗和远程患者监测可以帮助足病医生在管理患者的同时降低 2019 年冠状病毒病的风险。大流行期间足病医生的目标是通过使糖尿病足和伤口患者保持安全、功能和在家中，减轻医疗保健系统的负担。
