Diabetes, Metabolic Syndrome and Obesity (Nov 2020)
Cost of Diabetic Foot Ulcer Management in China: A 7-Year Single-Center Retrospective Review
Abstract
Qingwei Lu,1 Jun Wang,1 Xiaolu Wei,2 Gang Wang,1 Yang Xu,1 Zengzhen Lu,1 Peng Liu1 1Department of Ulcers and Peripheral Vascular Surgery, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, People’s Republic of China; 2School of Integrated Traditional Chinese and Western Medicine, Binzhou Medical University, Yantai 264003, People’s Republic of ChinaCorrespondence: Jun WangDepartment of Ulcers and Peripheral Vascular Surgery, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, People’s Republic of ChinaEmail [email protected] WeiSchool of Integrated Traditional Chinese and Western Medicine, Binzhou Medical University, Yantai 264003, People’s Republic of ChinaEmail [email protected]: The cost of care for diabetic foot ulcers has became a global economic burden. The study aimed to analyze diabetic foot ulcer cost changes over time and to identify factors associated with these variables, so as to strengthen and improve the management of diabetic foot ulcers.Methods: We retrospectively analyzed the data in the electronic medical record system of our wound treatment center. The homepage of the system was queried using the national clinical version 2.0 disease diagnosis code (ICD-10), the data of patient’s basic information were exported. Through the statistics and analysis of these data, the socioeconomic changes and possible risk factors of diabetic foot ulcers management in recent years were obtained.Results: There were 3654 patients included in the study, an average of 522 per year. The total cost per patient increased from ¥ 15,535.58 in 2014 to ¥ 42,040.60 in 2020, with an average of ¥ 21,826.91. The average length of stay between 14.29 days and 31.4 days from 2014 to 2020, with an average of 18.10 days. Besides, the average incidence of peripheral arterial disease in diabetic foot ulcers patients admitted was as high as 81.9%, and the average amputation rate was 9.9%. The study reflected the total cost and length of stay of diabetic foot patients increased significantly from 2014 to 2020, which were related to age (> 85 years), gender (male), peripheral arterial disease, amputation (P < 0.05).Conclusion: A heavy cost from diabetic foot ulcers and its complications was significantly increased yearly, which was related to older age, co-morbidity, amputation and duration of hospitalization. The prevention and treatment of diabetic foot ulcers have a long way to go, early comprehensive prevention and multi-disciplinary cooperation may still be an effective way.Keywords: diabetic foot ulcers, cost, socioeconomic, retrospective analysis, electronic medical record system, multi-disciplinary
