1 / 10

BRI diabetic amputation audit

BRI diabetic amputation audit. Dr Andy Pettit. Introduction. Cases identified through through HAA coding 2002-3 Patients initially from WGH or other Bristol hospitals were excluded. 21 amputations 14 ♂ 7♀ Age 71.6 (11.8) years Type 1: 3patients. Preceding care.

ignatius-bates
Download Presentation

BRI diabetic amputation audit

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. BRI diabetic amputation audit Dr Andy Pettit

  2. Introduction • Cases identified through through HAA coding 2002-3 • Patients initially from WGH or other Bristol hospitals were excluded

  3. 21 amputations • 14♂ • 7♀ • Age 71.6 (11.8) years Type 1: 3patients

  4. Preceding care • 10 managed in primary care • 5 managed in secondary care • 6 shared care • 14 had seen a chiropodist prior to amputation • Mean visits 10.2/year • 6 had <5 visits • 11 patients had Dr review of feet in year prior to amputation

  5. Nature of Foot Problems • 17 had an ulcer • 1 deformity requiring amputation • 12 ischaemic • 5 neuroischaemic • 3 neuropathic

  6. Levels of amputation • Toes 9 • BKA 4 • Through knee 4 • AKA 4

  7. Circulation • Angiogram 14/21 • Angio of ischaemic group 14/17 • Revascularisation 5 • Not suitable 11

  8. Previous Amputations • 4 minor • 1 major

  9. Cardiovascular risk reduction

  10. Possible improvements • Do we need to ask GPs to refer foot ulcers to the diabetic clinic • Or should referrals to podiatry also be seen in the medical clinic • Cardiovascular risk reduction strategies • Glycaemia control (how nihilistic can we be)

More Related