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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Development of a Model to Predict Healing of Chronic Wounds Within 12 Weeks

Development of a Model to Predict Healing of Chronic Wounds Within 12 Weeks

Researchers from the University of Southern California (USC) in partnership with Healogics have recently produced a predictive model to identify wounds most likely to heal within 12 weeks. Unlike other models that have been previously published, this model utilized EMR data from over 600,000 wounds, allowing for highly predictive classification across a variety of wound types. Findings from this model also indicated that a wound’s characteristics at initial presentation, such as area, depth, and location, are far more powerful than the patient demographics or comorbidities in determining whether a wound will heal.

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Outpatient Wound Care Assessment

Outpatient Wound Care Assessment

Healogics Outpatient Wound Care Assessment is an audit used to determine quality improvement such as heal rates and patient access to care by measuring new patients post-Healogics management of the wound center. It is an opportunity to examine the clinical quality, operational efficiency and financial achievements of centers’ activities, as well as identify areas of potential improvement. The primary aim of this case study was to compare year-over-year center performance pre and post partnership with Healogics.

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The Promise of a Healthier Community Through a Healogics Collaboration

The Promise of a Healthier Community Through a Healogics Collaboration

Healogics Wound Care Centers provide exceptional wound care, but, when needed, they also want patients to receive appropriate care to treat the underlying causes of their chronic wounds. Some patients need additional care either before, during or after wound care treatment. Studies show vascular intervention can help prevent amputation and can help prevent future wounds. Whether this intervention is a revascularization consult, potential surgery or an admission, Healogics works directly with physicians to provide next steps for each patient. To measure the impact of a Healogics collaboration for the hospital and community through understanding the continuum of care created by care delivered in the Wound Care Center, Healogics conducted an analysis across 316 Centers.

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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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