The Evolution of Benchmarking in Health Care: Quality Indicators, Measurement Challenges, and Future Directions
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
Mansor Salem Almuarik, Saad Abdulrahman Saad AlMahbub, Falah Helou Al-Dhafeeri, Shadia Saeed Alatawi, Atheer Falah Albalawi, Sakher Ali Saleh Alzahrani, Hamoud Rasheed Alghamdi, Nouf Abdullah Shami
Abdullah Ibrahim Alqoair, Hanaa Mosaed Althagafi, Abeer Hamed Althagafi, Ghofran Mohammed Alasalany, Faygah Mohmad Mubarak, Eid Fallaj Sudan, Mohammed Salem Al-Harbi
Abstract
Holistic health represents an integrated model of well-being that encompasses physical, mental, emotional, and social dimensions. In healthcare settings, this framework is particularly relevant because professionals operate in environments characterized by continuous pressure, emotional strain, and physical demands. Unlike traditional biomedical models that focus primarily on disease treatment, holistic health promotes prevention, resilience, and sustainable performance. Healthcare workers often face long shifts, high patient acuity, and organizational stressors that threaten their overall well-being. Addressing these concerns through a holistic lens ensures that caregivers remain capable of delivering safe and effective services. When healthcare organizations adopt comprehensive wellness strategies, they contribute not only to individual resilience but also to systemic stability and efficiency (Engle et al., 2021; Warner et al., 2020).
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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