{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:04:43Z","timestamp":1789142683574,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The current study aims to evaluate the effectiveness of a multidisciplinary diabetic foot team (MDFT) in the management of in\u2010patients affected by diabetic foot problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The study was a retrospective observational study. Consecutive patients with a diabetic foot problem requiring hospitalisation were included. All patients were managed by a MDFT led by diabetologists according to the guidance. The rate of in\u2010hospital complications (IHCs), major amputation, and survival were recorded at the end of patient\u2019s hospitalisation. IHC was defined as any new infection different from wound infection, cardiovascular events, acute renal injury, severe anaemia requiring blood transfusion, and any other clinical problem not present at the assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 350 patients were included. The mean age was 67.9\u00a0\u00b1\u00a012.6\u00a0years, 254 (72.6%) were males, 323 (92, 3%) showed Type 2 diabetes with a mean duration of 20.2\u00a0\u00b1\u00a09.6\u00a0years; 224 (64%) had ischaemic diabetic foot ulcers (DFUs) and 299 (85.4%) had infected DFUs. IHCs were recorded in 30\/350 (8.6%) patients. The main reasons for IHCs were anaemia requiring blood transfusion (2.8%), pneumonia (1.7%), acute kidney failure (1.1%). Patients with IHCs showed a higher rate of major amputation (13.3 vs. 3.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02) and mortality (16.7 vs. 0.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001) in comparison to those without. Ischaemic heart disease (IHD) and wound duration at the assessment (&gt;1\u00a0month) were independent predictors of IHC, whereas IHCs, heart failure, and dialysis were independent predictors of in\u2010hospital mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The multidisciplinary management of diabetic foot problems leads to an IHC rate of 8%. The risk of IHCs is higher in patients with IHD and long wound duration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.3690","type":"journal-article","created":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T12:38:50Z","timestamp":1688906330000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["A multidisciplinary team reduces in\u2010hospital clinical complications and mortality in patients with diabetic foot ulcers"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3789-9622","authenticated-orcid":false,"given":"Marco","family":"Meloni","sequence":"first","affiliation":[{"name":"Department of Systems Medicine University of Rome \"Tor Vergata\"  Rome Italy"},{"name":"Division of Endocrinology and Diabetology Department of Medical Sciences Fondazione Policlinico \"Tor Vergata\"  Rome 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