West China School of Public Health, Sichuan University/West China Fourth Hospital, Sichuan University, Chengdu, China.
Health and Social Policy Division, Chengdu Preventive Medicine Association, Chengdu, China.
Int Wound J. 2023 Sep;20(7):2657-2663. doi: 10.1111/iwj.14139. Epub 2023 Mar 14.
To study the causes of pre-hospital delay in Chinese patients with diabetic foot ulcers (DFUs). A retrospective study, investigating a case series of 46 DFUs treated at a single hospital, was conducted to evaluate wound condition, wound treatment, costs, and patients' complete medical records, and analyse the reasons causing the pre-hospital delay. We assessed 46 DFUs aged between 53 and 92 years old. The average pre-hospital delay was 5 months, with nearly 20% being delayed for more than 1 year. The average length of hospital stay in China was 21 days, with an average cost of $8672. Recurrence rate of DFUs was 21%, and three patients were recommended to transfer to upper-level hospital. Besides, the intervention was limited and homogenous and medical records were incomplete. Medical service users' limited understanding of diseases, high costs that patients need to afford, and unsatisfactory treatment by medical service providers are the main reasons for patients' delay in seeking treatment. Recommendations are offered to reduce the pre-hospital delay of Chinese patients with DFUs.
研究中国糖尿病足溃疡（DFU）患者院前延误的原因。方法：采用回顾性研究方法，对在一家医院治疗的 46 例 DFU 患者的病例系列进行调查，评估伤口状况、伤口处理、费用以及患者完整的病历，并分析导致院前延误的原因。结果：我们评估了 46 例年龄在 53 至 92 岁之间的 DFU 患者。平均院前延误时间为 5 个月，近 20%的患者延误时间超过 1 年。中国患者的平均住院时间为 21 天，平均费用为 8672 美元。DFU 的复发率为 21%，3 名患者被建议转往上一级医院。此外，干预措施有限且单一，病历也不完整。医疗服务使用者对疾病的认识有限、患者需要承担的高昂费用以及医疗服务提供者提供的治疗效果不佳是导致患者延迟治疗的主要原因。为了减少中国 DFU 患者的院前延误，我们提出了一些建议。
