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Abstract：
BACKGROUND: The cost of care for diabetic foot ulcers has became a global economic burden. The study aimed to analyze diabetic foot ulcer cost changes over time and to identify factors associated with these variables, so as to strengthen and improve the management of diabetic foot ulcers.
METHODS: We retrospectively analyzed the data in the electronic medical record system of our wound treatment center. The homepage of the system was queried using the national clinical version 2.0 disease diagnosis code (ICD-10), the data of patient\'s basic information were exported. Through the statistics and analysis of these data, the socioeconomic changes and possible risk factors of diabetic foot ulcers management in recent years were obtained.
RESULTS: There were 3654 patients included in the study, an average of 522 per year. The total cost per patient increased from ¥15,535.58 in 2014 to ¥42,040.60 in 2020, with an average of ¥21,826.91. The average length of stay between 14.29 days and 31.4 days from 2014 to 2020, with an average of 18.10 days. Besides, the average incidence of peripheral arterial disease in diabetic foot ulcers patients admitted was as high as 81.9%, and the average amputation rate was 9.9%. The study reflected the total cost and length of stay of diabetic foot patients increased significantly from 2014 to 2020, which were related to age (>85 years), gender (male), peripheral arterial disease, amputation (P < 0.05).
CONCLUSIONS: A heavy cost from diabetic foot ulcers and its complications was significantly increased yearly, which was related to older age, co-morbidity, amputation and duration of hospitalization. The prevention and treatment of diabetic foot ulcers have a long way to go, early comprehensive prevention and multi-disciplinary cooperation may still be an effective way.
METHODS: We retrospectively analyzed the data in the electronic medical record system of our wound treatment center. The homepage of the system was queried using the national clinical version 2.0 disease diagnosis code (ICD-10), the data of patient\'s basic information were exported. Through the statistics and analysis of these data, the socioeconomic changes and possible risk factors of diabetic foot ulcers management in recent years were obtained.
RESULTS: There were 3654 patients included in the study, an average of 522 per year. The total cost per patient increased from ¥15,535.58 in 2014 to ¥42,040.60 in 2020, with an average of ¥21,826.91. The average length of stay between 14.29 days and 31.4 days from 2014 to 2020, with an average of 18.10 days. Besides, the average incidence of peripheral arterial disease in diabetic foot ulcers patients admitted was as high as 81.9%, and the average amputation rate was 9.9%. The study reflected the total cost and length of stay of diabetic foot patients increased significantly from 2014 to 2020, which were related to age (>85 years), gender (male), peripheral arterial disease, amputation (P < 0.05).
CONCLUSIONS: A heavy cost from diabetic foot ulcers and its complications was significantly increased yearly, which was related to older age, co-morbidity, amputation and duration of hospitalization. The prevention and treatment of diabetic foot ulcers have a long way to go, early comprehensive prevention and multi-disciplinary cooperation may still be an effective way.
摘要：
背景：糖尿病足溃疡的护理费用已成为全球经济负担。该研究旨在分析糖尿病足溃疡成本随时间的变化，并确定与这些变量相关的因素。从而加强和改进糖尿病足溃疡的管理。
方法：我们回顾性分析了我们伤口治疗中心电子病历系统中的数据。使用国家临床2.0版疾病诊断代码(ICD-10)查询系统主页,导出患者基本信息数据。通过对这些数据的统计和分析,获得了近年来糖尿病足溃疡管理的社会经济变化和可能的危险因素。
结果：该研究包括3654例患者，平均每年522。每位患者的总费用从2014年的15,535.58日元增加到2020年的42,040.60日元，平均为21,826.91日元。2014年至2020年的平均停留时间在14.29天至31.4天之间，平均为18.10天。此外,糖尿病足溃疡患者外周动脉疾病的平均发病率高达81.9%，平均截肢率为9.9%。该研究反映了糖尿病足患者的总费用和住院时间从2014年到2020年显著增加，这与年龄（>85岁）有关，性别（男性），外周动脉疾病,截肢(P<0.05)。
结论：糖尿病足溃疡及其并发症的成本逐年显著增加，这与年龄有关，合并症，截肢和住院时间。糖尿病足溃疡的防治任重道远,早期综合预防和多学科合作可能仍然是一种有效的方法。
方法：我们回顾性分析了我们伤口治疗中心电子病历系统中的数据。使用国家临床2.0版疾病诊断代码(ICD-10)查询系统主页,导出患者基本信息数据。通过对这些数据的统计和分析,获得了近年来糖尿病足溃疡管理的社会经济变化和可能的危险因素。
结果：该研究包括3654例患者，平均每年522。每位患者的总费用从2014年的15,535.58日元增加到2020年的42,040.60日元，平均为21,826.91日元。2014年至2020年的平均停留时间在14.29天至31.4天之间，平均为18.10天。此外,糖尿病足溃疡患者外周动脉疾病的平均发病率高达81.9%，平均截肢率为9.9%。该研究反映了糖尿病足患者的总费用和住院时间从2014年到2020年显著增加，这与年龄（>85岁）有关，性别（男性），外周动脉疾病,截肢(P<0.05)。
结论：糖尿病足溃疡及其并发症的成本逐年显著增加，这与年龄有关，合并症，截肢和住院时间。糖尿病足溃疡的防治任重道远,早期综合预防和多学科合作可能仍然是一种有效的方法。
