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The diabetic vascular foot (a 20 week snap shot review)

The diabetic vascular foot (a 20 week snap shot review). Martin Arissol Vascular podiatrist. Diabetic Foot Referrals. Two vascular wards with a total of 44 beds + outliers. GP, community or tertiary referral. Follow-up at local hospital with: Acute foot team Vascular surgeon

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The diabetic vascular foot (a 20 week snap shot review)

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  1. The diabetic vascular foot (a 20 week snap shot review) Martin Arissol Vascular podiatrist

  2. Diabetic Foot Referrals Two vascular wards with a total of 44 beds + outliers GP, community or tertiary referral • Follow-up at local hospital with: • Acute foot team • Vascular surgeon • Microbiologist Radiology MDM followed by in & out patient ward round every Monday (up to 30 patient reviews) • Follow-up at local hospital with: • Acute foot team • Follow-up at GSTT out-patient MDT clinic: • Out-patient antibiotic therapy reviews

  3. 20 week review • Number of contacts: 119 complex cases • Age range: 40 - 93 • Gender: Male 71% Female 29% • Length of stay: 4 days to 109 days • Deaths: 7

  4. Demographics

  5. Surgical procedures

  6. Surgical outcomes

  7. Re-admissions

  8. Organisms cultured

  9. Antibiotic cover

  10. Questions • Is the service offering enough post-discharge support? • Do we have a two way communication with your teams? • Do you have any issues referring patients to the service? • What support do you have locally, vascular, micro...? • Suggestions on how to improve the pathway?

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