ArticleThe Permanente journal2014
The economic impact of hospitalization for diabetic foot infections in a Caribbean nation.
Article in The Permanente journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 47 citations in OpenAlex.
- Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections.Antibiotics (Basel, Switzerland) · 2024Article
- Antibiotic Stewardship in the Management of Infected Diabetic Foot Ulcer Disease in Less Developed Countries.Endocrinology, diabetes & metabolism · 2024Review
- Early intervention and care for Diabetic Foot Ulcers in Low and Middle Income Countries: Addressing challenges and exploring future strategies: A narrative review.Health science reports · 2024Article
- Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean.PLOS global public health · 2022Article
- Short and oral antimicrobial therapy for diabetic foot infection: a narrative review of current knowledge.Journal of bone and joint infection · 2022Review
- Article
- Knowledge, Practice and Attitude towards Foot Ulcers and Foot Care among Adults Living with Diabetes in Tobago: A Qualitative Study.International journal of environmental research and public health · 2021Article
- Hepatic surface grooves in Trinidad and Tobago.Surgical and radiologic anatomy : SRA · 2020Article
- Optimization of the antibiotic management of diabetic foot infections: protocol for two randomized controlled trials.Trials · 2020Article
- Annual Direct Medical Costs of Diabetic Foot Disease in Brazil: A Cost of Illness Study.International journal of environmental research and public health · 2018Article
- A Management Algorithm for Retained Rectal Foreign Bodies.American journal of men's health · 2017Article
- Cost of diabetic eye, renal and foot complications: a methodological review.The European journal of health economics : HEPAC : health economics in prevention and care · 2017Review
- Addressing ethical challenges in the Genetics Substudy of the National Eye Survey of Trinidad and Tobago (GSNESTT).Applied & translational genomics · 2016Article
- Building capacity for human genetics and genomics research in Trinidad and Tobago.Revista panamericana de salud publica = Pan American journal of public health · 2015Article
- Barriers to diabetic foot care in a developing country with a high incidence of diabetes related amputations: an exploratory qualitative interview study.BMC health services research · 2015Article
- Topical "soft candle" applications for infected diabetic foot wounds: a cause for concern?International journal of biomedical science : IJBS · 2014Article
- Adverse events in diabetic foot infections: a case control study comparing early versus delayed medical treatment after home remedies.Risk management and healthcare policy · 2014Article
- Self-directed treatment for lower limb wounds in persons with diabetes: a short report.Patient preference and adherence · 2014Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextFoot infection is the most common complication of diabetes mellitus in the Caribbean. Diabetic foot infections place a heavy burden on health care resources in the Caribbean.
objectiveTo evaluate the treatment-related costs for diabetic foot infections in a Caribbean nation.
methodsWe identified all patients with diabetic foot infections in a 730-bed hospital serving a catchment population of approximately 400,000 persons from June 1, 2011 through July 31, 2012. The following data were collected: details of infection, antibiotic usage, investigations performed, number of physician consultations, details of operative treatment, and duration of hospitalization. Total charges were tallied to determine the final cost for inhospital treatment of diabetic foot infections.
resultsThere were 446 patients hospitalized with diabetic foot infections, yielding approximately 0.75% annual risk for patients with diabetes to develop foot infections. The mean duration of hospitalization was 22.5 days. Sixteen patients (3.6%) were treated conservatively without an operative procedure and 430 (96.4%) required some form of operative intervention. There were 885 debridements, 193 minor amputations and 60 major amputations, 7102 wound dressings, 2763 wound cultures, and 27,015 glucometer measurements. When the hospital charges were tallied, a total of US $13,922,178 (mean, US $31,216) were spent to treat diabetic foot infections in these 446 patients during 1 year at this hospital.
conclusionsEach year, the government of Trinidad and Tobago spends US $85 million, or 0.4% of their gross domestic product, solely to treat patients hospitalized for diabetic foot infections. With this level of national expenditure and the anticipated increase in the prevalence of diabetes, it is necessary to revive the call for investment in preventive public health strategies.
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