SAT-592 - Clinical Profile and Outcome of Patients with Diabetic Foot Infection Admitted in the Adult Diabetic Extremity Management Pathway in A Public Tertiary Hospital

Background:
Diabetic foot infections continue to be a significant contributor to diabetes-related morbidity and mortality, especially in a resource limited setting where multidisciplinary care is sometimes delayed. Although evidence from low-resource hospital is still scarce, multidisciplinary treatment approaches have been demonstrated to improve outcomes. The Adult Diabetic Extremity Management Pathway was recently implemented to streamline referrals and optimize interdisciplinary management. This study aimed to describe the clinicodemographic profile and clinical outcomes of patients with Diabetic Foot Infection managed under the said Pathway and to analyze factors associated with mortality, hospital stay, and complications.

Methods:
We conducted a retrospective descriptive-correlational study and examined the medical records of adult Diabetic Foot Infection patients who were admitted to a public hospital under the Adult Diabetic Extremity Management Pathway between September 2024 and February 2025. Clinicodemographic profiles, referral timelines, interventions, and in-hospital outcomes were analyzed. To find variables linked to hospital length of stay and death, multivariate logistic and linear regression analyses were carried out.

Results:
Ninety-one patients (mean age 56.5 years; 65.9% male) with type 2 diabetes mellitus and a mean disease duration of 5.55 years were included out of the 107 identified patients. Fifty-five percent had peripheral artery occlusive disease. In 70.3% of cases, surgery was necessary. In-hospital mortality was 13.2% while 86.8% of patients were discharged alive. The average hospital stay was 30.2 days. Surgical intervention was independently associated with significantly reduced mortality (OR 0.13, 95% CI 0.03–0.54) despite longer hospitalization. Compared to survivors, patients who died had higher wait times between referral, consultation, and operation.

Conclusion:
Among patients with Diabetic Foot Infection, the Adult Diabetic Extremity Management Pathway was linked to reduced complication rates and high discharge rates. Mortality was considerably decreased by prompt surgical intervention, highlighting the significance of organized multidisciplinary treatment. In public hospital settings, improving referral and surgical schedules could lead to even better results.

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