Cellular & Tissue-Based Products & the Diabetic Foot

Cellular & Tissue-Based Products & the Diabetic Foot

This analysis measured the association between healing and cellular tissue product (CTP) application in a large sample of diabetic foot ulcers (DFUs). The results suggest that application of a CTP increased the probability of DFU healing, particularly in Wagner grades 3 and 4 wounds. However, CTP application was only measured as a binary outcome, and…

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COVID-19 Leads to Increased Amputations

COVID-19 Leads to Increased Amputations

The COVID-19 pandemic provides direct evidence of why wound care is an essential service. Along with many other service lines, wound care has seen a decline in visits despite being designated as an essential service and the adoption of telemedical options. There have been several recently published articles that report significant increases in major limb amputations during the pandemic compared with matched time frames from pre-COVID-19 data. In this article, Dr. Ennis briefly describes the findings and compares them to his own University’s data, with the goal of ensuring patients are scheduled and evaluated during these complicated times.

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How COVID-19 is Changing Wound Care: New Triage Models, Metabolic Inflammation in Diabetes, and the Need for International Consensus

Speaking from four separate rooms in four different corners of the world, William Ennis, Desmond Bell, Michael Edmonds, and William Li expounded over zoom on the myriad ways in which COVID-19 had impacted multidisciplinary wound care, both in terms of the disruption the pandemic had caused to their daily practices, and how the echoes of this disruption would ripple into the future. They also touched on the interrelationship between diabetes and COVID-19, questioning what the downstream effects will be in the vulnerable diabetic population.

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COVID-19 Updates

We continue to monitor the current information about COVID and there appears to be two new developments that should be of interest to our Healogics community. The first is the concept of “thrombo-inflammation” and how it might develop in COVID patients leading to clots, strokes and heart attacks. It is also possible that this thrombo-inflammation might be the cause of the recently described finding known as “COVID toes.”

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Why Wound Care is Essential During the COVID-19 Crisis

The rapidly evolving COVID-19 pandemic in the United States has hospitals and acute care facilities changing standard operating procedures to prepare for the expected influx of infected patients. As a result, services, procedures, and surgeries that are deemed “non-essential” are being shut down immediately, without thorough consideration of the ramifications. The Alliance of Wound Care Stakeholders is concerned that this decision will result in unintended negative consequences that will cause a gradual influx of patients to the emergency department.

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Reducing Amputations in the Community

Reducing Amputations in the Community

Healogics assessed the impact of a collaborative continuum of care model between a Wound Care Center® and vascular surgery practice on quality of care and outcomes. Of the 7,616 procedures that were reviewed by Stanford Health Care’s Vascular & Endovascular Surgery practice, 1,751 procedures met inclusion criteria. This study included patients who underwent lower extremity interventions over a three-year period before and after the opening of a Wound Care Center.

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