{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:02:45Z","timestamp":1777712565078,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Introduction.<\/jats:italic>\n                    Unplanned readmissions are common following discharge in patients after hospitalization for diabetic foot disease (DFD) complications. The aim of this study was to identify factors associated with readmissions in these high-risk patients, treated in a multidisciplinary setting and the implication of measures that could effectively reduce readmission rates.\n                    <jats:italic toggle=\"yes\">Methods.<\/jats:italic>\n                    Patients presenting with DFDs admitted between 2015 and 2017 were studied retrospectively in a single-centre patient database. The demographics and clinical comorbidities were analyzed and comparison was made between 2 groups: patients readmitted within 30 days of discharge and those who did not require readmission. Multivariate analysis was performed to identify risk factors associated with readmissions.\n                    <jats:italic toggle=\"yes\">Results.<\/jats:italic>\n                    In total, 340 patients were included. The unplanned readmission rate was 10.9%. More than half of readmissions (71%) were related to wound deterioration and infection. In the readmission group, the patients had lower body mass index, higher rate of osteomyelitis, lower rate of debridement, and evidence of peripheral vascular disease below the knee in the index admissions but these were not significant. In the multivariate analysis, peripheral neuropathy was the only significant risk associated with unplanned readmissions (odds ratio: 2.78, 95% confidence interval: 1.23-6.29,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.014).\n                    <jats:italic toggle=\"yes\">Conclusion.<\/jats:italic>\n                    This study demonstrates a significant association between peripheral neuropathy and unplanned readmissions. The implications of this nonmodifiable risk factor in reducing readmissions include all levels of patient care delivery such as adequate preparation for discharge and transition back into the community. Recognition and education in successful long-term offloading of insensate diabetic feet may help reduce rates of unplanned readmission.\n                  <\/jats:p>","DOI":"10.1177\/15347346231197885","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T02:28:46Z","timestamp":1693535326000},"page":"118-122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Implication of Peripheral Neuropathy on Unplanned Readmissions in Patients Hospitalized for Complicated Diabetic Foot Disease"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5608-5846","authenticated-orcid":false,"given":"Erwin","family":"Yii","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Eastern Health, Box Hill, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amos","family":"Au","sequence":"additional","affiliation":[{"name":"Monash Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Bradley","sequence":"additional","affiliation":[{"name":"Monash Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Saunder","sequence":"additional","affiliation":[{"name":"Monash Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Bell","sequence":"additional","affiliation":[{"name":"Monash Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming K.","family":"Yii","sequence":"additional","affiliation":[{"name":"Monash Health"},{"name":"Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,31]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Australian Diabetes-Related Foot Disease Strategy 2018-2022: The First Step Towards Ending Avoidable Amputations within a Generation","author":"Van Netten JJ","year":"2017","unstructured":"Van Netten JJ, Lazzarini PA, Fitridge R, et al. Australian Diabetes-Related Foot Disease Strategy 2018-2022: The First Step Towards Ending Avoidable Amputations within a Generation. Diabetic Foot Australia, Wound Management CRC; 2017."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.07.131"},{"issue":"1","key":"e_1_3_2_4_2","first-page":"46","article-title":"Laboratory and pharmaceutical data associated with hospital readmission in persons with diabetic foot ulcers","volume":"58","author":"Myers AK","year":"2021","unstructured":"Myers AK, Dawkins M, Baskaran I, et al. Laboratory and pharmaceutical data associated with hospital readmission in persons with diabetic foot ulcers. 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