Abstract:
OBJECTIVE:The aims of this point-prevalence study were to investigate a representative inpatient population to determine the prevalence of people admitted to hospital for the reason of a foot-related condition, and identify associated independent factors. METHODS:Participants were adult inpatients in 5 different representative hospitals, admitted for any reason on the day of data collection. Maternity, mental health and cognitively impaired inpatients were excluded. Participants were surveyed on a range of self-reported demographic, social determinant, medical history, foot disease history, self-care, footwear, past foot treatment prior to hospitalisation and reason for admission variables. Physical examinations were performed to clinically diagnose a range of foot disease and foot risk factor variables. Independent factors associated with being admitted to hospital for the primary or secondary reason of a foot-related condition were analysed using multivariate logistic regression. RESULTS:Overall, 733 participants were included; mean (SD) age 62 (19) years, male 55.8%. Foot-related conditions were the primary reason for admission in 54 participants (7.4% (95% CI 5.7% to 9.5%)); 36 for foot disease (4.9%), 15 foot trauma (2.1%). Being admitted for the primary reason of a foot-related condition was independently associated with foot infection, critical peripheral arterial disease, foot trauma and past foot treatment by a general practitioner and surgeon (p<0.01). Foot-related conditions were a secondary reason for admission in 28 participants (3.8% (2.6% to 5.6%)), and were independently associated with diabetes and current foot ulcer (p<0.01). CONCLUSIONS:This study, the first in a representative inpatient population, suggests the direct inpatient burden caused by foot-related conditions is significantly higher than previously appreciated. Findings indicate 1 in every 13 inpatients was primarily admitted because of a foot-related condition with most due to foot disease or foot trauma. Future strategies are recommended to investigate and intervene in the considerable inpatient burden caused by foot-related conditions.
journal_name
BMJ Openjournal_title
BMJ openauthors
Lazzarini PA,Hurn SE,Kuys SS,Kamp MC,Ng V,Thomas C,Jen S,Kinnear EM,d'Emden MC,Reed Ldoi
10.1136/bmjopen-2015-010811subject
Has Abstractpub_date
2016-06-20 00:00:00pages
e010811issue
6issn
2044-6055pii
bmjopen-2015-010811journal_volume
6pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:INTRODUCTION:It is estimated that Iran accounted for about 1% of hip fracture burden of the world in 2007, but these data are based on incomplete evidence. As the country's population is ageing, it is expected that a dramatic rise in hip fracture incidence will result. There is no single national study that accurately ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014898
更新日期:2017-04-11 00:00:00
abstract:INTRODUCTION:Complex coronary artery disease (left main and three-vessel disease) carries high risks of adverse events and cost burden. However, in China, little is known about which patients are directed toward which treatment strategies and what outcomes are being achieved. METHODS AND ANALYSIS:Using the China PEACE...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-009743
更新日期:2016-02-15 00:00:00
abstract:OBJECTIVES:To assess the quantity and evaluate the quality of policies and curricula focusing on conflicts of interests (COI) at medical schools across Germany. DESIGN:Cross-sectional study, survey of medical schools, standardised web search. SETTING:Medical schools, Germany. PARTICIPANTS:38 German medical schools. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039782
更新日期:2020-09-30 00:00:00
abstract:BACKGROUND:In October 2012, the Chinese government established maximum retail prices for specific products, including 30 antineoplastic medications. Three years later, in June 2015, the government abolished price regulation for most medications, including all antineoplastic medications. This study examined the impacts ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031658
更新日期:2019-11-28 00:00:00
abstract:INTRODUCTION:Ageing-related processes such as cellular senescence are believed to underlie the accumulation of diseases in time, causing (co)morbidity, including cancer, thromboembolism and stroke. Interfering with these processes may delay, stop or reverse morbidity. The aim of this study is to investigate the link be...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039560
更新日期:2020-12-17 00:00:00
abstract:INTRODUCTION:International clinical guidelines consistently endorse the promotion of self-management (SM), including physical activity for patients with chronic low back pain (CLBP) and osteoarthritis (OA). Patients frequently receive individual treatment and advice to self-manage from physiotherapists in primary care,...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-010728
更新日期:2016-01-21 00:00:00
abstract:OBJECTIVES:We conducted a retrospective review of patients with extrapulmonary small cell carcinomas (EPSCCs) to explore the distribution, treatments, patterns of relapse and outcomes by primary site. SETTING:We have reviewed the outcomes of one of the largest data sets of consecutive patients with EPSCC identified fr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2014-006440
更新日期:2015-01-14 00:00:00
abstract:OBJECTIVE:To explore risks of experiencing intimate partner violence (IPV) after HIV infection among women with HIV in a postnatal care setting in Swaziland. DESIGN:A qualitative semistructured in-depth interview study, using thematic analysis with deductive and inductive coding, of IPV experiences after HIV infection...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006907
更新日期:2015-05-14 00:00:00
abstract:PURPOSE:The Upper Gastrointestinal Cancer Registry (UGICR) was developed to monitor and improve the quality of care provided to patients with upper gastrointestinal cancers in Australia. PARTICIPANTS:It supports four cancer modules: pancreatic, oesophagogastric, biliary and primary liver cancer. The pancreatic cancer ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031434
更新日期:2019-09-30 00:00:00
abstract:OBJECTIVES:To assess the current health of the Deaf community in the UK and compare with the general population. DESIGN:A quota sample of adult Deaf British Sign Language (BSL) users underwent a health assessment and interview in 2012-2013. Comparative data were obtained from the Health Survey for England (HSE) 2011 a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006668
更新日期:2015-01-25 00:00:00
abstract:OBJECTIVE:To investigate the risk of cancer and potential gender effects in persons hospitalised with burn injury. DESIGN:Population-based retrospective cohort study using record-linkage systems in Scotland and Western Australia. PARTICIPANTS:Records of 37 890 and 23 450 persons admitted with a burn injury in Scotlan...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003845
更新日期:2014-01-17 00:00:00
abstract:INTRODUCTION:Cardiovascular disease (CVD) and cancer are leading causes of death globally. Early detection of cancer and risk factors for CVD may improve health outcomes and reduce mortality. General practitioners (GPs) are accessed by the majority of the population and play a key role in the prevention and early detec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001405
更新日期:2012-07-02 00:00:00
abstract:INTRODUCTION:Patients can develop trismus from their head and neck cancer or as a result of treatment. Trismus affects the jaw muscles and makes mouth opening difficult. To potentially combat trismus, patients could undertake proactive jaw stretching exercises prior to, during and after radiotherapy, although currently...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021938
更新日期:2018-03-30 00:00:00
abstract:INTRODUCTION:Endometriosis is a common gynaecological disease characterised by pain and subfertility. Randomised controlled trials evaluating treatments for endometriosis have reported many different outcomes and outcome measures. This variation restricts effective data synthesis limiting the usefulness of research to ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013998
更新日期:2016-12-21 00:00:00
abstract:INTRODUCTION:Osteoarthritis (OA) pathophysiology is driven in part by joint inflammation. Resveratrol has in vitro anti-inflammatory properties. We aim to assess the efficacy of oral resveratrol for knee pain at 3 months in people with knee OA. METHODS AND ANALYSIS:We will conduct a randomised double-blind placebo-con...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-017652
更新日期:2017-09-29 00:00:00
abstract:INTRODUCTION:Obstructive sleep apnoea (OSA) is caused by complete or partial obstruction of the upper airway resulting in repeated episodes of interrupted or shallow breaths. OSA is associated with significant morbidity and mortality. The prevalence is estimated to range from 3% to 7% in the general population but may ...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-020876
更新日期:2018-08-29 00:00:00
abstract:INTRODUCTION:Health interventions often target pregnant women and their unborn children. Interventions in rural India targeting pregnant women, however, often do not cover the critical early windows of susceptibility during the first trimester and parts of the second trimester. This pilot seeks to determine if targetin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-044127
更新日期:2020-10-05 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:Macrolides have been associated with proarrhythmic properties, but the evidence is conflicting. We evaluated the risk of out-of-hospital cardiac arrest (OHCA) associated with specific macrolides in a retrospective study. Associations between specific macrolides and OHCA were examined by cond...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019997
更新日期:2018-02-23 00:00:00
abstract:OBJECTIVES:The integration of community pharmacy services (CPSs) into primary care practice can be enhanced by assessing (and further addressing) the elements that enable (ie, facilitators) or hinder (ie, barriers) the implementation of such CPSs. These elements have been widely researched from the perspective of pharm...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2016-015471
更新日期:2017-09-05 00:00:00
abstract:OBJECTIVES:Frequent attenders (FAs) suffer more and consult general practitioners (GPs) more often for chronic physical and psychiatric illnesses, social difficulties and distress than non-FAs. However, it is unclear to what extent FAs present transient episodes of care (TECs) compared with non-FAs. DESIGN:Retrospecti...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-012563
更新日期:2016-12-13 00:00:00
abstract:OBJECTIVE:To explore experts' views on factors influencing national and global active case-finding (ACF) policy development and implementation, and the use of evidence in these processes. DESIGN:This is an exploratory study based on semistructured expert interviews. Framework analysis was applied. PARTICIPANTS:The st...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036285
更新日期:2020-06-03 00:00:00
abstract:INTRODUCTION:Children who have experienced abuse and neglect are at increased risk of mental and physical health problems throughout life. This places an enormous burden on individuals, families and society in terms of health services, education, social care and judiciary sectors. Evidence suggests that early intervent...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-020066
更新日期:2018-03-14 00:00:00
abstract:INTRODUCTION:Down syndrome results in neuromotor impairment that affects selective motor control, compromising the acquisition of motor skills and functional independence. The aim of the proposed study is to evaluate and compare the effects of multiple-monopolar anodal transcranial direct current stimulation and sham s...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-016260
更新日期:2017-08-11 00:00:00
abstract:BACKGROUND:Birth weight is a critical indicator of neonatal health and foretells people's health in adolescence and even adulthood. Some researchers have warned against the adverse effects on babies' birth weight of exposure to pollutants in interior decoration or oil paint by odour intake. This study evaluated the eff...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013700
更新日期:2017-08-21 00:00:00
abstract:OBJECTIVES:To evaluate the feasibility, discriminant validity and concurrent validity of the Health Status Classification System-Preschool (HSCS-PS) in children aged 3 years in a large community sample in the Netherlands. DESIGN/SETTING:A prospective population-based cohort in Rotterdam, the Netherlands. PARTICIPANTS...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022449
更新日期:2018-12-18 00:00:00
abstract:INTRODUCTION:Pain is one of the most common and most debilitating complaints among patients. It affects the individual, their relationship with friends and family, their ability to function at work, and their sociability. Acupuncture is one of the therapeutic resources for managing chronic pain. Given the variability o...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-014904
更新日期:2017-09-27 00:00:00
abstract:OBJECTIVES:The objectives of this study were to describe the methods used to assess the quality of linkage between records of babies' birth registration and hospital birth records, and to evaluate the potential bias that may be introduced because of these methods. DESIGN/SETTING:Data from the civil registration and th...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037885
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVES:We compared the effectiveness of the Gold Standard Programme (a comprehensive smoking cessation intervention commonly used in Denmark) with other face-to-face smoking cessation programmes in Denmark after implementation in real life, and we identified factors associated with successful quitting. DESIGN:Pros...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013553
更新日期:2017-02-27 00:00:00
abstract:OBJECTIVES:The aim of this systematic review was to examine the epidemiology of malpractice claims in primary care. DESIGN:A computerised systematic literature search was conducted. Studies were included if they reported original data (≥10 cases) pertinent to malpractice claims, were based in primary care and were pub...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002929
更新日期:2013-07-18 00:00:00
abstract:OBJECTIVE:This study aimed to evaluate the factor structure of the Chinese version of the 22-item Zarit Burden Interview (ZBI) among family caregivers of patients with schizophrenia in China. METHODS:Using one-stage cluster-sampling design, 324 primary caregivers of patients with schizophrenia in Ningxiang County, Hun...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015621
更新日期:2017-09-29 00:00:00