Tag: limb preservation

Getting a Foothold on Diabetic Foot Disease—Outcomes of a Multidisciplinary Clinical Pathway for Inpatient Diabetic Foot Care over 17 Years #ActAgainstAmputation #DiabeticFoot #ALPSlimb

Great work from our Singapore colleagues. Abstract Introduction Diabetes foot disease (DFD) contributes to poor quality of life, clinical and economic burden. Multidisciplinary diabetes foot teams provide prompt access to specialist teams thereby improving limb salvage. We present a 17-year review of an inpatient multidisciplinary clinical care path (MCCP) for DFD in Singapore. Methods This... Continue Reading →

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A novel Canadian multidisciplinary acute care pathway for people hospitalised with a diabetic foot ulcer- #HotFootLine #ActAgainstAmputation @ALPSLimb

A novel Canadian multidisciplinary acute care pathway for people hospitalised with a diabetic foot ulcer Great work from our Canadian SALSAmigos showing how a novel HotFootLine can be effective in triage and limb preservation. This manuscript describes the implementation and initial evaluation of a novel Canadian acute care pathway for people with a diabetic foot... Continue Reading →

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Multidisciplinary Limb Salvage Service Reduces Major Amputations in Diabetic Foot Infections ActAgainstAmputation #DiabeticFoot @ALPSlimb @WeAreLAHealth @HarborUCLA_VS @JAPMAFeetTweets #ToeandFlow

Congratulations to Ashley Miller, Fred Bongard and crew on these important data on an even more important team approach to limb preservation. Abstract Background: Diabetic foot infections (DFIs) can lead to limb loss and mortality. To improve patient care at a safety-net teaching hospital, we created a multidisciplinary limb salvage service (LSS). Methods: We recruited a cohort... Continue Reading →

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PROMISE kept? Transcatheter Arterialization of Deep Veins in Chronic Limb- Threatening Ischemia @NEJM #ActAgainstAmputation @ALPSlimb

Congratulations to some of our closest flowmigos for their collective work on this important manuscript. With this manuscript and BEST-CLI being published in NEJM in such quick succession, it highlights the importance of rapid reaction and teamwork in working to #ActAgainstAmputation. Background: Approximately 20% of patients with chronic limb-threatening ischemia have no revascularization options, leading to... Continue Reading →

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Presenting limb severity is associated with long-term outcomes after infrainguinal revascularization for chronic limb-threatening ischemia @UCSFvascular @VascularSVS @ALPSlimb

Presenting limb severity is associated with long-term outcomes after infrainguinal revascularization for chronic limb-threatening ischemia This from our toe and flowmigos at UCSF. Type of Research: Single-center retrospective cohort study Key Findings: Among 413 patients undergoing infrainguinal revascularization for CLTI, long-term risk of major amputation was associated with presenting WIfI stage (p<0.001). Autogenous vein bypass provided... Continue Reading →

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Health Services Forms New Limb-Preservation Workgroup @WeAreLAHealth @HarborUCLA_VS @RanchoRehab @LACUSCMedCenter @KeckSchool_USC @USC #ActAgainstAmputation @ALPSLimb

 This article from the LA County Department of Health Services via Evan Raff Diabetes-related amputations represent a major preventable health risk for patients living with diabetes and lower extremity limb loss in particular is one of the most devastating events in a patient’s life, with five-year mortality approaching 70% and even higher in the population... Continue Reading →

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A Focus on Amputation Level: Factors Preventing Length Preservation in the National Inpatient Sample

Great work by Fan et al from Georgetown. Bottom line: rural v. urban and revascularization again show a significant effect on amputation level. Abstract Background: Diabetic lower-extremity disease is the primary driver of mortality in patients with diabetes. Amputations at the forefoot or ankle preserve limb length, increase function, and, ultimately, reduce deconditioning and mortality... Continue Reading →

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Economic Value of Podiatric Surgery when Added to A Vascular Surgery Program #ActAgainstAmputation #ToeandFlow @vascularsvs @alpslimb @apma

Important data from Naren Patel et al at the University of Arizona's Southern Arizona Limb Salvage Alliance (SALSA). Bottom line: With equal number of surgeons, podiatry contributed 40% of total wRVUs generated by the entire program in 2019. Here are the granular data in for those of you interested in developing a limb preservation program.... Continue Reading →

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