Results from 12 months of audit of cardio-metabolic risk of people with diabetic foot disease presenting to a high risk foot clinic. — ASN Events
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  3. Results from 12 months of audit of cardio-metabolic risk of people with diabetic foot disease presenting to a high risk foot clinic.

Results from 12 months of audit of cardio-metabolic risk of people with diabetic foot disease presenting to a high risk foot clinic. (#333)

Rajini Jayaballa 1 , Lili Yuen 1 2 , Joseph Kilby 3 , Ahmed Hussein 1 , Matthew Malone 2 3 , Namson S Lau 1 2
  1. Department of Diabetes and Endocrinology, Liverpool Hospital, NSW, Australia
  2. LIVE DIAB, Ingham Institute, University of New South Wales, NSW
  3. Department of Podiatry, Liverpool Hospital, NSW

Background: 

Patients with diabetic foot disease (DFD) have increased cardio-metabolic risk factors such as hypertension and dyslipidaemia and increased rates of advanced complications such as such as coronary and cerebrovascular disease, diabetic renal disease and peripheral vascular disease. While they may not access specialist services, their regular use of high risk foot clinics (HRFC) may provide an opportunity to assess and monitor their cardio-metabolic conditions.

Method

Continuing research initiated in 2014, people with DFD presenting to Liverpool Hospital’s HRFC were formally assessed for their demographics, clinical history focusing on cardio-metabolic risk factors and complications of diabetes mellitus (DM).  Clinical parameters such as blood pressure, lipid profile, HbA1c, renal function and microalbuminuria were also recorded.  To date, over 100 patients have been audited.  In 2015 we conducted the same audit of patients presenting to our adult DM clinics in order to generate a control cohort.

Results

We will present the results of analyses for demography, co-morbid and cardio-metabolic profile and clinical parameters of patients presenting to the HRFC and in comparison to the control cohort of patients presenting to adult DM clinics.  We will also generate their averaged absolute cardiovascular disease risk using Australian specific CVD calculator to determine the extent of their elevated CVD risk.

Conclusion

Patients with DFD presenting to HRFCs have elevated CVD risk and suboptimal control of their cardio-metabolic risk factors.  Despite this, this population has lower rates of use of specialist services.  Comparison of their CVD risk profile and control of cardio-metabolic risk factors to patients attending adult DM services should highlight that HRFCs may be an underutilised opportunity to identify, evaluate and treat these patients and reduce their morbidity and mortality.