Sunay Firat, Seda Tek, Mehmet Aykut Erk
Cyber mother's womb: Social support expectation in social network and emotional violence
Perspectives in psychiatric care
systematic review conducted evaluate time delays management diabetic foot explore influencing factors delays potential outcomes researchers searched several electronic databases pubmed web science cochrane library embase cnki wanfang cbm vip english chinese studies examined time delays management pathway diabetic foot two authors independently screened extracted data assessed quality included studies using newcastleottawa scale agency health research quality checklist due heterogeneity among studies descriptive analysis performed review included 28 articles comprising 20 cohort studies 8 crosssectional studies met inclusion criteria among 14 deemed high quality median times symptom onset primary health care specialist care varied 3 4669 days median delay referral primary care specialists ranged 7 31 days subsequent median times definitive treatment ranged 62 56 days multiple complex factors found contribute delays including patient demographics older age lower education level income level poor patient healthseeking behaviors inaccurate selftreatment incorrect recognition interpretation symptoms inaccurate assessment initial treatment health primary professionals complex referral pathways clinical characteristics diabetic foot number foot ulcers wagner grade scale hemoglobin a1c index negative outcomes associated delays included increased risk major amputation mortality decreased wound healing rate prolonged hospital stay increased hospital costs time delays diabetic foot management pathway common serious contributing negative health outcomes patients diabetic foot many complex factors related patients poor patient healthseeking behaviors health system clinical characteristics diabetic foot responsible delays therefore necessary develop new strategies standard referral practices strengthen patient awareness seeking care