Effects of the COVID-19 Pandemic on the Management of Diabetic Foot Ulcers

Experiences From a Dedicated Diabetic Foot Care Center

Murat Kendirci, MD; Ibrahim Tayfun Sahiner, MD; İsmail Sezikli, MD; Merve Akın, MD; Ahmet Cinar Yasti, MD


Wounds. 2022;34(5):146-150. 

In This Article

Materials and Methods

After receiving approval from the Ethics Committee of the Hitit University School of Medicine (number 331/14.07.2020), the data from patients hospitalized at the authors' diabetic foot clinic were retrospectively obtained from the hospital information system. Patients were categorized into 2 groups. The study group consisted of patients hospitalized between March 11, 2020, and June 11, 2020, which marked the first 3 months of the COVID-19 pandemic in Turkey. The control group consisted of patients hospitalized during the same period in 2019, before the pandemic.

Demographic data, length of hospital stay, Wagner grade of DFU, comorbidities, laboratory parameters, wound duration, duration of diabetes, and treatments applied were recorded. The authors' hospital is in Çorum province, which is located in the Central Anatolia region of Turkey, and accepts patients mostly from neighboring cities within a radius of 150 km (Yozgat, 136 km; Amasya, 95 km; and Kırıkkale, 152 km). However, this institution is also a referral center in Turkey; thus, a considerable number of patients also present from more distant cities located in the north of the country, such as Trabzon (534 km) and Samsun (292 km), as well as from southern cities, including Kayseri (234 km), Adana (494 km), and Mersin (519 km), and also western cities such as Kocaeli (508 km). Patients' place of permanent residence was also noted.

Statistical analysis was performed using the Pearson chi-square test, Mann-Whitney U test, and t test to determine the differences between the pandemic period (2020) and the prepandemic period (2019). A statistical significance value of P less than .05 was used for this study.