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Healico® 伤口护理智能手机应用在预防一位 65 岁糖尿病患者足部截肢中的作用。

Role of the Healico© Wound Care Smartphone Application in Preventing a Foot Amputation in a 65-Year-Old Patient with Diabetes.

机构信息

Diabetic Foot Unit - Vascular Surgical Service, Ramón y Cajal University Hospital, Madrid, Spain.

Health Centre Aquitania, Madrid, Spain.

出版信息

Am J Case Rep. 2022 May 11;23:e936359. doi: 10.12659/AJCR.936359.

DOI:10.12659/AJCR.936359
PMID:35538646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9108680/
Abstract

BACKGROUND Healico© is an innovative smartphone application designed to assist healthcare professionals in managing wounds in their daily practice. The application records all clinical information of the wound, facilitating its monitoring, and may lead to the selection of the best treatment for the patient. In addition, the application allows secure data sharing among healthcare professionals. CASE REPORT We report the successful use of Healico© in aiding the avoidance of foot amputation in a 65-year-old patient with diabetes. The patient had a diabetic foot ulcer, the main cause of lower limb amputation in Spain. Amputations negatively impact the quality of life of patients and are an enormous economic burden. The treatment of diabetic foot ulcers requires a multidisciplinary approach with good coordination between healthcare professionals from different fields and between different levels of care (primary care centers, sociosanitary centers, and hospitals). Through the use of Healico©, the patient with severe clinical signs of infection was referred urgently from primary care to the referral hospital and was quickly treated with antibiotics and underwent surgery. As a result, the infection was successfully delimited and excision of the foot was prevented. CONCLUSIONS Healico© promoted rapid communication between the primary care center and hospital, enabling urgent referral of the patient to a specialist. This clinical case reports the value that a digital application can bring to the healthcare sector and, in particular, the value of Healico© implementation in the daily practice of healthcare professionals to optimize the management of wounds, such as diabetic foot ulcers.

摘要

背景

Healico© 是一款创新的智能手机应用程序,旨在帮助医疗保健专业人员在日常实践中管理伤口。该应用程序记录了伤口的所有临床信息,便于监测,并可能为患者选择最佳治疗方案。此外,该应用程序允许医疗保健专业人员之间安全地共享数据。

病例报告

我们报告了 Healico© 在帮助避免一位 65 岁糖尿病患者足部截肢方面的成功应用。该患者患有糖尿病足溃疡,这是西班牙下肢截肢的主要原因。截肢手术会对患者的生活质量产生负面影响,同时也会给经济带来巨大负担。糖尿病足溃疡的治疗需要多学科方法,需要不同领域的医疗保健专业人员之间以及不同护理级别的医疗机构之间(基层医疗中心、社会卫生中心和医院)进行良好的协调。通过使用 Healico©,该患者有严重感染的临床迹象,被从基层医疗中心紧急转诊到转诊医院,并迅速接受抗生素治疗和手术。结果,感染得到了成功控制,避免了足部切除。

结论

Healico© 促进了基层医疗中心和医院之间的快速沟通,使患者能够迅速转介给专家。本临床病例报告了数字应用程序可以为医疗保健部门带来的价值,特别是 Healico© 在医疗保健专业人员日常实践中的实施价值,以优化对糖尿病足等伤口的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e6/9108680/1eace7df959e/amjcaserep-23-e936359-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e6/9108680/d14a64fbac02/amjcaserep-23-e936359-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e6/9108680/3903b5fda16a/amjcaserep-23-e936359-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e6/9108680/1eace7df959e/amjcaserep-23-e936359-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e6/9108680/d14a64fbac02/amjcaserep-23-e936359-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e6/9108680/3903b5fda16a/amjcaserep-23-e936359-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e6/9108680/1eace7df959e/amjcaserep-23-e936359-g003.jpg

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本文引用的文献

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J Clin Orthop Trauma. 2020 Dec 15;16:86-98. doi: 10.1016/j.jcot.2020.12.014. eCollection 2021 May.
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Cost-effectiveness of TLC-NOSF dressings versus neutral dressings for the treatment of diabetic foot ulcers in France.法国 TLC-NOSF 敷料与中性敷料治疗糖尿病足溃疡的成本效果分析。
PLoS One. 2021 Jan 22;16(1):e0245652. doi: 10.1371/journal.pone.0245652. eCollection 2021.
3
Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update).
《糖尿病足病预防与管理实用指南(IWGDF 2019 更新版)》
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3266. doi: 10.1002/dmrr.3266.
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Prevention of foot ulcers in the at-risk patient with diabetes: a systematic review.糖尿病高危患者足部溃疡的预防:系统评价。
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3270. doi: 10.1002/dmrr.3270. Epub 2020 Jan 19.
5
Cortical disruption is the most reliable and accurate plain radiographic sign in the diagnosis of diabetic foot osteomyelitis.皮质破坏是糖尿病足骨髓炎诊断中最可靠、最准确的X线平片征象。
Diabet Med. 2019 Feb;36(2):258-259. doi: 10.1111/dme.13824.
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All-cause mortality among diabetic foot patients and related risk factors in Saudi Arabia.沙特阿拉伯糖尿病足患者的全因死亡率及相关危险因素
PLoS One. 2017 Nov 27;12(11):e0188097. doi: 10.1371/journal.pone.0188097. eCollection 2017.
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Diabetic Foot Ulcers and Their Recurrence.糖尿病足溃疡及其复发
N Engl J Med. 2017 Jun 15;376(24):2367-2375. doi: 10.1056/NEJMra1615439.
8
Losing a foot versus losing a dollar; a systematic review of cost studies in diabetic foot complications.失去一只脚与失去一美元;糖尿病足并发症成本研究的系统评价
Expert Rev Pharmacoecon Outcomes Res. 2017 Apr;17(2):165-180. doi: 10.1080/14737167.2017.1305891. Epub 2017 Mar 17.
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