Penerapan Telemedicine terhadap Penyembuhan Luka Kaki Diabetik Grade IV Paska Amputasi
Abstract
This study aims to describe the healing process of diabetic foot wounds monitored through telemedicine during the Coronavirus disease-19 pandemic. The method used in this study was a case report of a 64-year-old patient with a history of grade IV diabetic foot injuries after amputation of the thumb on the right foot. The time needed to do telemedicine as a medium for monitoring wound conditions and education is about 30 minutes. The results showed that wound healing was significantly successful, within one month, as many as ten dressing changes with a duration of once every three days. In conclusion, telemedicine contributes positively to efforts to heal diabetic foot wounds.
Keywords: Case Report, COVID-19, Diabetic Foot Sores, Telemedicine
References
Aberer, F., Hochfellner, D. A., & Mader, J. K. (2021). Application of Telemedicine in Diabetes Care: The Time is Now. Diabetes Therapy, 12(3), 629–639. https://doi.org/10.1007/s13300-020-00996-7
Armstrong, D. G., Swerdlow, M. A., Armstrong, A. A., Conte, M. S., Padula, W. V., & Bus, S. A. (2020). Five Year Mortality and Direct Costs of Care for People with Diabetic Foot Complications are Comparable to Cancer. Journal of Foot and Ankle Research, 13(1), 1-4. https://doi.org/10.1186/s13047-020-00383-2
Bates-Jensen, B., McCreath, H., Harputlu, D., & Patlan, A. (2019). Reliability of the Bates-Jensen Wound Assessment Tool (BWAT) for Pressure Injury Assessment: The Pressure Ulcer Detection Study: Reliability of BWAT with PrI. Wound Repair and Regeneration, 27(4), 386-395. https://doi.org/10.1111/wrr.12714
Cyril P. Landstra and Eelco J. P. de Koning. (2021). COVID-19 and Diabetes: Understanding the Interrelationship and Risks for a Severe Course. Frontiers in Endocrinology, 12, 1–18. https://doi.org/10.3389/fendo.2021.649525
Fasterholdt, I., Gerstrøm, M., Rasmussen, B. S. B., Yderstræde, K. B., Kidholm, K., & Pedersen, K. M. (2018). Cost-Effectiveness of Telemonitoring of Diabetic Foot Ulcer Patients. Health Informatics Journal, 24(3), 245–258. https://doi.org/10.1177/1460458216663026
Grande, R., Fiori, G., Russo, G., Fioramonti, P., Campagnol, M., & di Marzo, L. (2020). A Multistage Combined Approach to Promote Diabetic Wound Healing in COVID-19 Era. International Wound Journal, 1-8. https://doi.org/10.1111/iwj.13476
Hazenberg, C. E. V. B., aan de Stegge, W. B., Van Baal, S. G., Moll, F. L., & Bus, S. A. (2020). Telehealth and Telemedicine Applications for the Diabetic Foot: A Systematic Review. Diabetes/Metabolism Research and Reviews, 36(3), 1-11. https://doi.org/10.1002/dmrr.3247
Hoversten, K. P., Kiemele, L. J., Stolp, A. M., Takahashi, P. Y., & Verdoorn, B. P. (2020). Prevention, Diagnosis, and Management of Chronic Wounds in Older Adults. Mayo Clinic Proceedings, 95(9), 2021–2034. https://doi.org/10.1016/j.mayocp.2019.10.014
International Diabetes Federation (IDF). (2019). IDF Diabetes Atlas Ninth edition 2019. https://www.diabetesatlas.org/upload/resources/material/20200302_133351_IDFATLAS9e-final-web.pdf
Iversen, M. M., Igland, J., Smith-Strøm, H., Østbye, T., Tell, G. S., Skeie, S., Cooper, J. G., Peyrot, M., & Graue, M. (2020). Effect of a Telemedicine Intervention for Diabetes-Related Foot Ulcers on Health, Well-Being and Quality of Life: Secondary Outcomes from a Cluster Randomized Controlled Trial (DiaFOTo). BMC Endocrine Disorders, 20(1), 1–8. https://doi.org/10.1186/s12902-020-00637-x
Kelahmetoglu, O., Camlı, M. F., Kirazoglu, A., Erbayat, Y., Asgarzade, S., Durgun, U., Mehdizade, T., Yeniocak, A., Yildiz, K., Ergun, S. S., & Guneren, E. (2020). Recommendations for Management of Diabetic Foot Ulcers during COVID-19 Outbreak. International Wound Journal, 17(5), 1424–1427. https://doi.org/10.1111/iwj.13416
Meloni, M., Izzo, V., Giurato, L., Gandini, R., & Uccioli, L. (2020). Management of Diabetic Persons With Foot Ulceration during COVID-19 Health Care Emergency: Effectiveness of a New Triage Pathway. Diabetes Research and Clinical Practice, 165, 1-6. https://doi.org/10.1016/j.diabres.2020.108245
Meloni, M., Izzo, V., Manu, C., Ahluwalia, R., Pedro Sánchez-RÃos, J., Lüdemann, C., Vouillarmet, J., Luis Garcia-Klepzig, J., Rodriguez-Saenz De Buruaga, V., Iacopi, E., Bouillet, B., Guillaumat, J., Luis Lazaro Martinez, J., & Van Acker, K. (2019). Fast-Track Pathway: an Easy-to-Use Tool to Reduce Delayed Referral and Amputations in Diabetic Patients with Foot Ulceration. The Diabetic Foot Journal, 22(2), 38–47. https://ttft.unfm.org/ttft/wp-content/uploads/fast-track-pathway-easy-use-tool-reduce-delayed-referral-and-amputations-diabetic-patients-foot-ulceration.pdf
Mukona, D.M., & Zvinavashe, M. (2020). Self- Management of Diabetes Mellitus during the COVID-19 Pandemic: Recommendations for a Resource Limited Setting. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(6), 1575-1578. https://doi.org/10.1016/j.dsx.2020.08.022
Padila, P., Lina, L. F., Febriawati, H., Agustina, B., & Yanuarti, R. (2018). Home Visit Berbasis Sistem Informasi Manajemen Telenursing. Jurnal Keperawatan Silampari, 2(1), 217–235. https://doi.org/10.31539/jks.v2i1.305
Rayman, G., Vas, P., Dhatariya, K., Driver, V., Hartemann, A., Londahl, M., Piaggesi, A., Apelqvist, J., Attinger, C., & Game, F. (2020). Guidelines on Use of Interventions to Enhance Healing of Chronic Foot Ulcers in Diabetes (IWGDF 2019 Update). Diabetes/Metabolism Research and Reviews, 36(1), 1-14. https://doi.org/10.1002/dmrr.3283
Smith-Strøm, H., Igland, J., Østbye, T., Tell, G. S., Hausken, M. F., Graue, M., Skeie, S., Cooper, J. G., & Iversen, M. M. (2018). The Effect of Telemedicine Follow-Up Care on Diabetes-Related Foot Ulcers: A Cluster-Randomized Controlled Non Inferiority Trial. Diabetes Care, 41(1), 96–103. https://doi.org/10.2337/dc17-1025
Armstrong, D. G., Swerdlow, M. A., Armstrong, A. A., Conte, M. S., Padula, W. V., & Bus, S. A. (2020). Five Year Mortality and Direct Costs of Care for People with Diabetic Foot Complications are Comparable to Cancer. Journal of Foot and Ankle Research, 13(1), 1-4. https://doi.org/10.1186/s13047-020-00383-2
Bates-Jensen, B., McCreath, H., Harputlu, D., & Patlan, A. (2019). Reliability of the Bates-Jensen Wound Assessment Tool (BWAT) for Pressure Injury Assessment: The Pressure Ulcer Detection Study: Reliability of BWAT with PrI. Wound Repair and Regeneration, 27(4), 386-395. https://doi.org/10.1111/wrr.12714
Cyril P. Landstra and Eelco J. P. de Koning. (2021). COVID-19 and Diabetes: Understanding the Interrelationship and Risks for a Severe Course. Frontiers in Endocrinology, 12, 1–18. https://doi.org/10.3389/fendo.2021.649525
Fasterholdt, I., Gerstrøm, M., Rasmussen, B. S. B., Yderstræde, K. B., Kidholm, K., & Pedersen, K. M. (2018). Cost-Effectiveness of Telemonitoring of Diabetic Foot Ulcer Patients. Health Informatics Journal, 24(3), 245–258. https://doi.org/10.1177/1460458216663026
Grande, R., Fiori, G., Russo, G., Fioramonti, P., Campagnol, M., & di Marzo, L. (2020). A Multistage Combined Approach to Promote Diabetic Wound Healing in COVID-19 Era. International Wound Journal, 1-8. https://doi.org/10.1111/iwj.13476
Hazenberg, C. E. V. B., aan de Stegge, W. B., Van Baal, S. G., Moll, F. L., & Bus, S. A. (2020). Telehealth and Telemedicine Applications for the Diabetic Foot: A Systematic Review. Diabetes/Metabolism Research and Reviews, 36(3), 1-11. https://doi.org/10.1002/dmrr.3247
Hoversten, K. P., Kiemele, L. J., Stolp, A. M., Takahashi, P. Y., & Verdoorn, B. P. (2020). Prevention, Diagnosis, and Management of Chronic Wounds in Older Adults. Mayo Clinic Proceedings, 95(9), 2021–2034. https://doi.org/10.1016/j.mayocp.2019.10.014
International Diabetes Federation (IDF). (2019). IDF Diabetes Atlas Ninth edition 2019. https://www.diabetesatlas.org/upload/resources/material/20200302_133351_IDFATLAS9e-final-web.pdf
Iversen, M. M., Igland, J., Smith-Strøm, H., Østbye, T., Tell, G. S., Skeie, S., Cooper, J. G., Peyrot, M., & Graue, M. (2020). Effect of a Telemedicine Intervention for Diabetes-Related Foot Ulcers on Health, Well-Being and Quality of Life: Secondary Outcomes from a Cluster Randomized Controlled Trial (DiaFOTo). BMC Endocrine Disorders, 20(1), 1–8. https://doi.org/10.1186/s12902-020-00637-x
Kelahmetoglu, O., Camlı, M. F., Kirazoglu, A., Erbayat, Y., Asgarzade, S., Durgun, U., Mehdizade, T., Yeniocak, A., Yildiz, K., Ergun, S. S., & Guneren, E. (2020). Recommendations for Management of Diabetic Foot Ulcers during COVID-19 Outbreak. International Wound Journal, 17(5), 1424–1427. https://doi.org/10.1111/iwj.13416
Meloni, M., Izzo, V., Giurato, L., Gandini, R., & Uccioli, L. (2020). Management of Diabetic Persons With Foot Ulceration during COVID-19 Health Care Emergency: Effectiveness of a New Triage Pathway. Diabetes Research and Clinical Practice, 165, 1-6. https://doi.org/10.1016/j.diabres.2020.108245
Meloni, M., Izzo, V., Manu, C., Ahluwalia, R., Pedro Sánchez-RÃos, J., Lüdemann, C., Vouillarmet, J., Luis Garcia-Klepzig, J., Rodriguez-Saenz De Buruaga, V., Iacopi, E., Bouillet, B., Guillaumat, J., Luis Lazaro Martinez, J., & Van Acker, K. (2019). Fast-Track Pathway: an Easy-to-Use Tool to Reduce Delayed Referral and Amputations in Diabetic Patients with Foot Ulceration. The Diabetic Foot Journal, 22(2), 38–47. https://ttft.unfm.org/ttft/wp-content/uploads/fast-track-pathway-easy-use-tool-reduce-delayed-referral-and-amputations-diabetic-patients-foot-ulceration.pdf
Mukona, D.M., & Zvinavashe, M. (2020). Self- Management of Diabetes Mellitus during the COVID-19 Pandemic: Recommendations for a Resource Limited Setting. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(6), 1575-1578. https://doi.org/10.1016/j.dsx.2020.08.022
Padila, P., Lina, L. F., Febriawati, H., Agustina, B., & Yanuarti, R. (2018). Home Visit Berbasis Sistem Informasi Manajemen Telenursing. Jurnal Keperawatan Silampari, 2(1), 217–235. https://doi.org/10.31539/jks.v2i1.305
Rayman, G., Vas, P., Dhatariya, K., Driver, V., Hartemann, A., Londahl, M., Piaggesi, A., Apelqvist, J., Attinger, C., & Game, F. (2020). Guidelines on Use of Interventions to Enhance Healing of Chronic Foot Ulcers in Diabetes (IWGDF 2019 Update). Diabetes/Metabolism Research and Reviews, 36(1), 1-14. https://doi.org/10.1002/dmrr.3283
Smith-Strøm, H., Igland, J., Østbye, T., Tell, G. S., Hausken, M. F., Graue, M., Skeie, S., Cooper, J. G., & Iversen, M. M. (2018). The Effect of Telemedicine Follow-Up Care on Diabetes-Related Foot Ulcers: A Cluster-Randomized Controlled Non Inferiority Trial. Diabetes Care, 41(1), 96–103. https://doi.org/10.2337/dc17-1025
