Abstract
Background The COVID-19 pandemic has a heavy burden on the approach of diabetic foot care worldwide. We aim to determine the impact of the COVID-19 outbreak on patients with diabetic foot (DF). Materials and methods This population-based cohort study included all patients diagnosed with the diabetic foot from2019-2020 (pre-lockdown) and 2020-2021 (post-lockdown) in a tertiary center of Jeddah, Saudi Arabia. Results Among all the participants (n=358),a non-significant difference was found between amputation rate during and before the COVID-19 pandemic (P-value=0.0983).Also, it showed a significantly higher percentage of patients who had acute lower limb ischemia compared to those having it before the pandemic (P-value=0.029). Conclusions and relevance In conclusion, our study found thatthe COVID-19 pandemic was not associated with excess amputations along with mortality rate, as the management during the pandemic showed adequate diabetic foot careby improving the prevention methods through hospital protocol restrictions and facilitating access to virtual clinics.
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