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Pain Management 2019 & Internal Medicine 2019 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 41
JOINT EVENT
7th Edition of International Conference on
Pain Management
8th Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Leanne Price et al., Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-006
Home Diabetic foot ulcer service: A safe and clinically
effective model for managing patients with diabetic foot
ulcers in the community
Leanne Price and Christopher Wilson
Dorset County Hospital, UK
The National Diabetes Foot Care Audit (NDFA)
estimates that the cost of diabetic foot disease
to the NHS in England is £1 billion per annum. Our
service manages patients with diabetic foot ulcers in
the community. This should result in financial gains
and improved patient outcomes whilst in accordance
with the national objective of managing patients in the
community. Our Acute Hospital at Home (AHAH) service
is run by a multidisciplinary team including medical
consultants, junior doctors, microbiologists, nurses’
physiotherapists and healthcare assistants. A virtual
ward round occurs daily in addition to a flexible ability
to review patients either in hospital or at home. We have
performed a retrospective analysis froma snapshot of 20
patients to provide initial data and are currently analyzing
an increased cohort of patients in this study. The primary
clinical outcomes include length of hospital admission,
amputation rates, readmission, patient satisfaction and
potential cost implications. The snapshot study showed
patients managed through AHAH had shorter length
of inpatient stays: 4 days compared to 15. This results
in a saving of £1980 per patient per admission. We are
confident that our larger study will continue to prove
equivalence in rates of amputations, readmissions and
death. To date our results demonstrate clear benefits
of managing patients with diabetic foot ulcers in the
community. Not only clear cost advantages but also
significantly improved patient satisfaction. We believe
that the AHAH service is a safe and hugely valuable
clinical service which could be widely applied across
healthcare.
Biography
Leanne Price currently works for the Acute Hospital At Home
(AHAH) department at Dorset County Hospital.
C Wilson completed his Under Graduate Medical Degree from
Bristol Univeristy in 2017. He currentlyworks for the AcuteHos-
pital At Home (AHAH) department at Dorset County Hospital.