XXXX in a secondary foot hospital: A clinical audit.

@entity1 @entity6 @entity4034 @entity16 @entity2412
BACKGROUND: Previous studies conducted in Australian hospital settings suggest high variability in assessments, investigations, and management of @entity6 and poor adherence to widely accessible evidence-based protocols and guidelines. @entity2412 require a multidisciplinary approach and often involve both medical and surgical teams during inpatient care. AIMS: The aim of this clinical audit was to better understand the scope of @entity6 -related foot complications, evaluate whether current assessment and management strategies are in line with best practice guidelines, and to formulate future models of care. METHODS: A retrospective review of @entity1 was carried out between 12 July 2012 and 11 July 2013. Recorded assessments of inpatient care, including risk factors, surgery, length of stay, interdepartmental referrals, and antibiotic administration were reviewed. RESULTS: There were 24 admissions in 12 months (total @entity1 n=19). Fifty-eight per cent of @entity1 were admitted to the medical ward. More than one-quarter had evidence of @entity4034 . While one @entity1 required intensive care unit (ICU) management, there was no inpatient mortality. Two @entity1 experienced significant delay to undergo initial surgical intervention presumably because of failed medical treatment. Clinical data was recorded poorly, especially regarding @entity16 , HbA1c, and clinical examination findings. Twelve per cent of @entity1 did not undergo any follow-up. The average length of stay was 12 days. One-half of the cohort was not evaluated by the endocrinology department. CONCLUSION: This audit highlights the need for improved care for @entity1 with @entity2412 and better coordination among the multidisciplinary teams involved.
