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Diyabetik Ayak Enfeksiyonlarında Hava Sıcaklığı ve Tedavi Maliyeti İlişkisinin Değerlendirilmesi

Amaç: Diyabet hastalarında ayak bakımı konusunda sorunlar yaşandığında, diyabetik ayak yaraları oluşabilmekte, tedavi edilmeyen diyabetik ayak enfeksiyonları da amputasyon ve ölüme sebep olabilmektedir. Bu çalışmada bir Üniversite Hastanesi’nde yatarak tedavi edilen diyabetik ayak hastalarında hava sıcaklığı ile tedavi maliyetlerinin değerlendirilmesi amaçlanmaktadır. Gereç ve Yöntem: Çalışma ekolojik tiptedir. Çalışmanın evrenini 2019 yılında bir hastanede yatarak tedavi edilen 123 diyabetik ayak hastası oluşturdu. Hastaların yaş, cinsiyet, diyabet süresi gibi demografik özellikleri, Wagner sınıflaması, hastanede yatış süresi, tedavi maliyeti, iklim parametreleri incelendi. Bulgular: Hastaların ortalama hastanede yatış süreleri 13.81±9.22 (min=1, max=43) gündü. Hastaların hastanede yatış maliyeti ortalamaları 2724.95±2344.04 (min=228 max=15.208) Türk Lirası (TL) idi. Yaşlı, yatış süresi uzun ve Wagner sınıflaması 3 ve üzerinde olan hastalarda tedavi maliyeti daha yüksekti (p<0.05). Hava sıcaklığının azalmasının tedavi maliyetini artırdığı bulundu (p<0.05). Sonuç: Hava sıcaklığı azalmasının enfeksiyon tedaviyi güçleştirdiği ve tedavi maliyetini artırdığı düşünülmektedir. Enfeksiyon tedavisi planlanırken, hava sıcaklığının azaldığı günlerde vazokonstruksiyon ve inflamasyonun dikkate alınması gerekmektedir.

Anahtar Kelimeler:

Diyabetik ayak, Tedavi maliyeti, Hava sıcaklığı

Evaluation of the Relationship Between Air Temperature and Treatment Cost in Diabetic Foot Infections

Objective: When diabetic patients have problems in foot care, diabetic foot wounds can occur, and untreated diabetic foot infections can cause amputation and death. In this study, it is aimed to evaluate the air temperature and treatment costs in diabetic foot patients treated in a University Hospital. Materials and Methods: The study is of ecological type. The population of the study consisted of 123 diabetic foot patients who were treated in a hospital in 2019. Demographic characteristics of the patients such as age, gender, duration of diabetes, Wagner classification, length of hospital stay, cost of treatment, and climate parameters were examined. Results: The mean hospital stay of the patients was 13.81±9.22 (min:1 max:43) days. The mean hospitalization cost of the patients was 2724.95±2344.04 (min:228 max:15,208) Turkish Lira (TL). The cost of treatment was higher in patients who were elderly, had a long hospital stay, and had a Wagner classification of 3 and above (p<0.05). It was found that the decrease in air temperature increased the cost of treatment (p<0.05). Conclusion: It is thought that the decrease in air temperature complicates the treatment of infection and increases the cost of treatment. When planning the treatment of infection, vasoconstriction and inflammation should be taken into account on days when the air temperature decreases.

Keywords:

Diabetic foot, Treatment cost, Air temperature,

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