{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T12:19:49Z","timestamp":1791721189067,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,2]],"date-time":"2021-05-02T00:00:00Z","timestamp":1619913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of this study was to evaluate the impact of discharge destination on diabetes\u2010related limb salvage surgery outcomes post\u2010hospitalisation. This was a single\u2010centre, observational, descriptive study of 175 subjects with diabetes who underwent limb salvage surgery of a minor foot amputation or wide incision and debridement for an acutely infected diabetic foot ulcer (DFU). Comparisons were made between subjects discharged home vs a skilled nursing facility (SNF) for 12 months postoperatively. Univariate, multivariate, and time\u2010to\u2010event analyses were performed. The SNF discharge group (n\u00a0=\u00a040) had worse outcomes with longer healing time (<jats:italic>P<\/jats:italic>\u00a0=\u2009.022), more rehospitalisations requiring a podiatry consult (<jats:italic>P<\/jats:italic>\u00a0=\u2009.009), increase of subsequent ipsilateral major lower\u2010extremity amputation (<jats:italic>P<\/jats:italic>\u00a0=\u2009.028), and a higher mortality rate (<jats:italic>P<\/jats:italic>\u00a0=\u2009.012) within the 12\u2010month postoperative period. There was no significant difference between the cohorts in surgically cleared osteomyelitis (<jats:italic>P<\/jats:italic>\u00a0=\u2009.8434). The Charlson Comorbidity Index values for those discharged home and those in a short\u2010term nursing facility were similar (<jats:italic>P<\/jats:italic>\u00a0=\u2009.3819; home =5.33\u2009\u00b1\u20092.84 vs SNF =5.75\u2009\u00b1\u20092.06). The planned discharge destination after limb salvage surgery among people with an acutely infected DFU should be an added risk factor for healing outcomes. Patients discharged to SNFs experience additional morbidity and mortality compared with patients discharged home post\u2010hospitalisation.<\/jats:p>","DOI":"10.1111\/iwj.13567","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T06:10:58Z","timestamp":1620022258000},"page":"657-663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Postoperative healing in the diabetic foot is impacted by discharge destination"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6724-3117","authenticated-orcid":false,"given":"Rebecca A.","family":"Burmeister","sequence":"first","affiliation":[{"name":"Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Jarocki","sequence":"additional","affiliation":[{"name":"Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal M.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary M.","family":"Rothenberg","sequence":"additional","affiliation":[{"name":"Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Munson","sequence":"additional","affiliation":[{"name":"Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2561-9243","authenticated-orcid":false,"given":"Brian M.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes University of Michigan Medical School  Ann Arbor Michigan 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