- Every 30 seconds, there is an amputation of limb somewhere in world.
- 65,700 diabetic patients receive amputations annually in the United States.
- Following amputation, the five year mortality is significantly high.
- If a diabetic wound remains unhealed at 4 weeks, it has a high chance of remaining unhealed at 12 weeks with an increased incidence of amputation.
- American Diabetes Association recommends multidisciplinary approach in managing diabetic ulcers to decrease amputation rates.
- Northeast Baptist Wound Healing Center and Mission Trail Baptist Wound Healing Center’s comprehensive approach has proven consistent track record of greater than 90% healing rates.
- Press Ganey Surveys of Northeast Baptist Wound Healing Center and Mission Trail Baptist Wound Healing Center shows consistent greater than 90% patient satisfaction scores.
- Cochrane review released in 2005 showed a 95% reduction in major amputation when adjuvant hyperbaric oxygen therapy (HBOT) was used to treat chronic diabetic foot ulcers.
- Updated Cochrane review in 2012 concluded that hyperbaric oxygen therapy (HBOT) significantly improved outcomes in the short term.
- Patients receiving hemodialysis often have complex wounds, which are hard to heal.
- Complex wounds in a dialysis patient is secondary to Diabetes Mellitus, Calciphylaxis, Collagen vascular disease, Arteriosclerosis obliterans, Chronic anemia and weakness.
- Skin of a patient with dialysis ages at a higher rate than a patient who is not on dialysis.
- Infection of wound or skin can be fatal, if blood access shunt gets infected.
- Immediate debridement and team approach to wound care can prevent dialysis patient from getting hospitalized and decreases chance of blood access shunts from getting infected.
- Wound biopsy done at wound clinic could help in identifying etiology of non healing wound.
- Total Contact Cast is extremely useful in healing neuropathic diabetic foot ulcers.
