The Royal Hospital, Perth, Australia.
Tallaght University Hospital, Dublin, Republic of Ireland.
Ir J Med Sci. 2022 Apr;191(2):839-844. doi: 10.1007/s11845-021-02536-z. Epub 2021 Mar 23.
To analyse the current provision of lower extremity amputations (LEA) in Irish public hospitals by patient characteristics and assess the potential savings for reducing numbers if a national multi-disciplinary foot protection clinic (MDFPC) was established nation-wide.
Patient characteristics of LEA conducted during 2016-2019 were analysed based on discharge data from the national hospital inpatient enquiry system. Reported consequences from existing literature were used to extrapolate national consequences.
Public hospitals registered 3104 hospital admissions with LEA during 2016-2019. 68% (n = 2099) of these were minor amputations. About 76% (n = 1592) of minor amputations and 52% (n = 525) of major amputations were performed on patients with a diagnosis of diabetes. If the implementation of a national MDFPC programmed could reduce the number of diabetic amputations by 20%, 80 minor and 26 major amputations could be avoided annually. This would avoid nearly 3000 hospital bed days and correspond to a potential annual saving of €3 M.
LEA has severe impact on patients' lives and hospital resources. Potential savings from effective prevention strategies may offer both health improvements and cost-savings.
通过患者特征分析爱尔兰公立医院目前下肢截肢（LEA）的情况，并评估如果在全国范围内建立多学科足部保护诊所（MDFPC），减少数量的潜在节省。
根据国家医院住院病人查询系统的出院数据，分析了 2016-2019 年期间进行的 LEA 的患者特征。利用现有文献中的报告后果推断出全国性的后果。
公立医院在 2016-2019 年期间登记了 3104 例 LEA 住院病例。其中 68%（n=2099）为小截肢。约 76%（n=1592）的小截肢和 52%（n=525）的大截肢是在患有糖尿病诊断的患者中进行的。如果实施全国性的 MDFPC 计划，可以减少 20%的糖尿病性截肢，每年可避免 80 例小截肢和 26 例大截肢。这将避免近 3000 个住院床位日，相当于每年潜在节省 300 万欧元。
LEA 对患者的生活和医院资源产生严重影响。有效的预防策略可能带来健康改善和成本节省的潜在收益。
