Artificial Intelligence In Nursing Care Planning And Decision-Making: Current Applications And Challenges
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
SAAD MUSAAD SAUD ALOTAIBI, ALARAWI IBRAHIM MAKAZI R, FATEMAHA ABADALMOHSEN AL FARAJ, GHADAH HUSSAIN ALSUFYANI, FATIMAH HABIB AL MUTAWA, JOWAHER EISAA H ALQALLAF, FATIMAH ABDULLAH JAWAD ALSHAIKH
MARIAM SALEH ALHELALI, WEJDAN ABDULLAH ALMOTURI, SAHAR ALRAKWI JAFFAL ALRUWAILI, SALHA JASSEM ALHAMOOD, ZAHRA HUSSAIN ALAWAMI, SHARIFAH HUSSAIN ALSULAIMAN, ZAINAB ALI AL EBRAHIM, SAUD ABDULAZIZ SULEIMAN AL-HUWAIMEL
Abstract
Artificial intelligence (AI) has emerged as a cornerstone of modern healthcare innovation, reshaping the way clinical information is processed, interpreted, and applied in nursing practice. Its integration enables rapid data synthesis, personalized care planning, and predictive insight that extend beyond the limits of traditional clinical judgment (Diakos, Koupidis & Dounias, 2022; Li et al., 2023). Nursing, long grounded in human intuition and patient empathy, now encounters an era where algorithms complement decision-making. The convergence of human compassion and computational intelligence promises improved diagnostic accuracy, workflow efficiency, and patient safety. However, this transformation also raises profound ethical and professional concerns about autonomy, trust, and accountability in care delivery (White, Dulko & DiPietro, 2022; Sadeghi-Gandomani & Alavi NM Afshar, 2019).
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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty