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. 2021 Jul;38(7):e14577.
doi: 10.1111/dme.14577. Epub 2021 Apr 13.

Impact of the COVID-19 Epidemic on hospitalization for diabetic foot ulcers during lockdown: A French nationwide population-based study

Anne-Sophie Mariet  1   2   3   4 , Eric Benzenine  1   2   3   4 , Benjamin Bouillet  5   6 , Bruno Vergès  5   6 , Catherine Quantin  1   2   3   4 , Jean-Michel Petit  5   6
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Impact of the COVID-19 Epidemic on hospitalization for diabetic foot ulcers during lockdown: A French nationwide population-based study

Anne-Sophie Mariet et al. Diabet Med. 2021 Jul.

Abstract

Aims/hypothesis: The aim of this study was to examine the impact of the COVID-19 epidemic on the hospitalization rates for diabetic foot ulcer (DFU), osteomyelitis and lower limb revascularization procedure in people with DFU.

Methods: This nationwide retrospective cohort study included hospital data on all people hospitalized in France for diabetes in weeks 2-43 in 2020, including the COVID-19 lockdown period, compared to same period in 2019.

Results: The number of hospitalizations for DFU decreased significantly in weeks 12-19 (during the lockdown) (p < 10-4 ). Hospitalization for foot osteomyelitis also decreased significantly in weeks 12-19 (p < 10-4 ). The trend was the same for lower limb amputations and revascularizations associated with DFU or amputation.

Conclusions/interpretation: The marked drop in hospitalization rates for DFU, osteomyelitis and lower limb revascularization procedures in people with DFU observed in France during the lockdown period suggests that COVID-19 was a barrier to DFU care, and may illustrate the combined deleterious effects of hospital overload and changes in health-related behaviour.

Keywords: COVID-19; diabetes complications; diabetes foot ulcers; hospital data; lockdown; lower limb amputations; osteomyelitis.

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