Miranda Cesare, Zanette Giorgio, Da Ros Roberto
Clinic of Endocrinology and Metabolism Diseases, Department of Internal Medicine, Azienda Sanitaria Friuli, Pordenone, Italy.
Clinic of Diabetology, Department of Internal Medicine, Azienda Sanitaria Universitaria Giuliana Isontina, Monfalcone, Italy.
Arch Med Sci Atheroscler Dis. 2022 Aug 8;7:e94-e103. doi: 10.5114/amsad/151047. eCollection 2022.
The COVID-19 pandemic has had a strong impact on the treatment of all diseases, especially chronic ones, and diabetic foot is no exception. The COVID-19 pandemic has favored the adoption of a new model of assistance delivery to facilitate the delivery of remote assistance to patients. The standard model based on face-to-face visits has been integrated by a hybrid model of telemedicine, home care and face-to-face visits to keep patients at home to minimize the number of in-person visits to clinics and admissions except for complicated DFUs. However, telemedicine is not always possible or suitable for various reasons (patients not digital, need for practical treatment of the foot etc.). In this review, we looked at the different approaches to diabetic foot ulcer management and the indirect impact of the COVID-19 pandemic on diabetes-related lower extremity complications and the lessons we have learned for the future.
新冠疫情对所有疾病的治疗都产生了重大影响,尤其是慢性病,糖尿病足也不例外。新冠疫情促使采用一种新的援助模式,以方便为患者提供远程援助。基于面对面就诊的标准模式已被远程医疗、居家护理和面对面就诊相结合的混合模式所取代,以使患者居家,尽量减少前往诊所的当面就诊次数和住院次数,但复杂的糖尿病足溃疡患者除外。然而,由于各种原因(患者不熟悉数字技术、需要对足部进行实际治疗等),远程医疗并不总是可行或适用的。在本综述中,我们探讨了糖尿病足溃疡管理的不同方法,以及新冠疫情对糖尿病相关下肢并发症的间接影响,以及我们对未来的经验教训。