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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.

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BRI diabetic amputation audit

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  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)

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