Hau Pham, Ewald Mendeszoon, Vitaliy Volansky, Justin Ogbonna, Wei Tseng, Elizabeth Sanders, David Coker, Ashley Daniel
{"title":"新型冠状病毒肺炎对某安全网医院糖尿病足溃疡手术的影响","authors":"Hau Pham, Ewald Mendeszoon, Vitaliy Volansky, Justin Ogbonna, Wei Tseng, Elizabeth Sanders, David Coker, Ashley Daniel","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Management of diabetic foot ulcers requires detailed and continuous work. Social distancing and lockdown restrictions instituted during the COVID-19 pandemic of 2020 were essential to saving lives and preventing hospital overflow, but they caused many difficulties for patients and health care providers.</p><p><strong>Objective: </strong>To show the changes in wound care surgery affected by COVID-19 at a safety net hospital.</p><p><strong>Methods: </strong>All ulcer-related surgeries performed at a single institution from March 2018 through February 2023-that is, 2 years before, the year of, and 2 years after the first year of the COVID-19 pandemic-were reviewed. Because the imposed outpatient and elective surgery restrictions started in March 2020, the period from March through February was used for the review. Wound-related surgeries included wound debridement, incision and drainage, exostectomy, digit amputations, midfoot amputations, and major amputations.</p><p><strong>Results: </strong>During the entire period, 1858 ulcer-related surgeries were performed at the authors' institution. A total of 723 surgeries were performed in the 2 years before COVID (pre), with 368 performed in the initial year of COVID (Covid) and 767 in the 2 years after the first year of the pandemic (post).</p><p><strong>Conclusion: </strong>COVID-19 significantly impacted various aspects of ulcer management at the clinic. The authors' wound clinic remained open on a limited basis, and the number of patients seen was markedly lower. After the restrictions were lifted, wound care visits remained significantly lower than the pre-pandemic level; the fear of COVID-19 had a lasting impact on the number of visits. The number of exostectomy and digit amputations has increased since the first year of the pandemic. Midfoot amputation and major amputation did not change much after the initial year of the pandemic, which may be due to death from COVID-19. The fear and death associated with COVID-19 affected wound care and continue to affect wound care and limb salvage, but determining the actual number affected is challenging.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":"37 6","pages":"226-231"},"PeriodicalIF":1.4000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of COVID-19 on diabetic foot ulcer surgery at a safety net hospital.\",\"authors\":\"Hau Pham, Ewald Mendeszoon, Vitaliy Volansky, Justin Ogbonna, Wei Tseng, Elizabeth Sanders, David Coker, Ashley Daniel\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Management of diabetic foot ulcers requires detailed and continuous work. Social distancing and lockdown restrictions instituted during the COVID-19 pandemic of 2020 were essential to saving lives and preventing hospital overflow, but they caused many difficulties for patients and health care providers.</p><p><strong>Objective: </strong>To show the changes in wound care surgery affected by COVID-19 at a safety net hospital.</p><p><strong>Methods: </strong>All ulcer-related surgeries performed at a single institution from March 2018 through February 2023-that is, 2 years before, the year of, and 2 years after the first year of the COVID-19 pandemic-were reviewed. Because the imposed outpatient and elective surgery restrictions started in March 2020, the period from March through February was used for the review. Wound-related surgeries included wound debridement, incision and drainage, exostectomy, digit amputations, midfoot amputations, and major amputations.</p><p><strong>Results: </strong>During the entire period, 1858 ulcer-related surgeries were performed at the authors' institution. A total of 723 surgeries were performed in the 2 years before COVID (pre), with 368 performed in the initial year of COVID (Covid) and 767 in the 2 years after the first year of the pandemic (post).</p><p><strong>Conclusion: </strong>COVID-19 significantly impacted various aspects of ulcer management at the clinic. The authors' wound clinic remained open on a limited basis, and the number of patients seen was markedly lower. After the restrictions were lifted, wound care visits remained significantly lower than the pre-pandemic level; the fear of COVID-19 had a lasting impact on the number of visits. The number of exostectomy and digit amputations has increased since the first year of the pandemic. Midfoot amputation and major amputation did not change much after the initial year of the pandemic, which may be due to death from COVID-19. The fear and death associated with COVID-19 affected wound care and continue to affect wound care and limb salvage, but determining the actual number affected is challenging.</p>\",\"PeriodicalId\":23752,\"journal\":{\"name\":\"Wounds : a compendium of clinical research and practice\",\"volume\":\"37 6\",\"pages\":\"226-231\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wounds : a compendium of clinical research and practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wounds : a compendium of clinical research and practice","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
The effect of COVID-19 on diabetic foot ulcer surgery at a safety net hospital.
Background: Management of diabetic foot ulcers requires detailed and continuous work. Social distancing and lockdown restrictions instituted during the COVID-19 pandemic of 2020 were essential to saving lives and preventing hospital overflow, but they caused many difficulties for patients and health care providers.
Objective: To show the changes in wound care surgery affected by COVID-19 at a safety net hospital.
Methods: All ulcer-related surgeries performed at a single institution from March 2018 through February 2023-that is, 2 years before, the year of, and 2 years after the first year of the COVID-19 pandemic-were reviewed. Because the imposed outpatient and elective surgery restrictions started in March 2020, the period from March through February was used for the review. Wound-related surgeries included wound debridement, incision and drainage, exostectomy, digit amputations, midfoot amputations, and major amputations.
Results: During the entire period, 1858 ulcer-related surgeries were performed at the authors' institution. A total of 723 surgeries were performed in the 2 years before COVID (pre), with 368 performed in the initial year of COVID (Covid) and 767 in the 2 years after the first year of the pandemic (post).
Conclusion: COVID-19 significantly impacted various aspects of ulcer management at the clinic. The authors' wound clinic remained open on a limited basis, and the number of patients seen was markedly lower. After the restrictions were lifted, wound care visits remained significantly lower than the pre-pandemic level; the fear of COVID-19 had a lasting impact on the number of visits. The number of exostectomy and digit amputations has increased since the first year of the pandemic. Midfoot amputation and major amputation did not change much after the initial year of the pandemic, which may be due to death from COVID-19. The fear and death associated with COVID-19 affected wound care and continue to affect wound care and limb salvage, but determining the actual number affected is challenging.
期刊介绍:
Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies.
Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more.
Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.