Exploring How Integrated Care Models Enhance Patient Satisfaction And Improve Health Outcomes
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
Nada Hussain Alsairafi, Mohammed Salman Alanazi, Taher Rassam Almutairi, Bader Dakhilallah Samran Alrashdi, Samran Dakhilallah Samran Alrashdi, Nadr Saleh Falah Alenzi, Mousa Murayshid Almutari
Nada Abdulrahman Aldurayhim, Mohammad Ibrahim Eid Altuqayqi, Ashwaq Saud Alanazi, Yousef Ali Al Khurim, Lina Bakri Ahmed Kurdi, Ghalib Mathker Hamad Al-Odhayani, Jamal Safar Alotaibi
Abstract
Integrated care models represent modern approaches to healthcare delivery that strive to offer seamless, coordinated, and patient‑centered services. These models foster collaboration among primary care providers, specialists, nurses, and allied health professionals so that patients receive comprehensive support across all stages of care (John et al., 2020). The central aim is to dismantle traditional silos in service delivery, enhancing communication and coordination between providers and settings to improve outcomes, raise satisfaction, and minimize inefficiencies such as duplicated services or missed care, while addressing physical, psychological, and social needs in a holistic way (Eamranond et al., 2022).
Keywords :
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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