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Int J Low Extrem Wounds ; 21(2): 107-110, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-1709223


Diabetic foot syndrome (DFS) is a major complication of diabetes mellitus. Coronavirus infectious disease 2019 (COVID-19) has created new necessities and priorities in DFS management. These include telemedicine and patient triage to minimise hospitalisation and visits to the clinic. Moreover, new studies will be needed to evaluate whether the lockdown in patients with DFS or in those with high risk of DFS have increased the risk of deteriorating outcomes, including limb loss. Our future challenge will lie in re-organising our world during the pandemic and after its resolution. We need more awareness of the widespread ways of the changes in taking care of patients and to improve education, skills, and behaviour of high-risk patients.

COVID-19 , Communicable Diseases , Diabetes Mellitus , Diabetic Foot , Communicable Disease Control , Diabetic Foot/diagnosis , Diabetic Foot/epidemiology , Diabetic Foot/therapy , Humans , Pandemics
Nutr Metab Cardiovasc Dis ; 31(3): 769-773, 2021 03 10.
Article in English | MEDLINE | ID: covidwho-1065505


BACKGROUND AND AIMS: Aim of the present study is to determine the role of obesity as a risk factor for COronaVirus Disease-19 (COVID-19) hospitalization. METHODS AND RESULTS: This observational study was performed using Istituto Superiore di Sanità (ISS) Tuscany COVID-19 database by the Agenzia Regionale Sanità (ARS), including all COVID-19 cases registered until April 30th, 2020, with reported information on chronic diseases. The principal outcome was hospitalization. An age and gender-adjusted logistic regression model was used to assess the association of clinical and demographic characteristics with hospitalization. Further multivariate models were applied. Of 4481 included subjects (36.9% aged over 70 years), 1907 (42.6%) were admitted to hospital. Obesity was associated with hospitalization after adjusting for age and gender. The association of obesity with hospitalization retained statistical significance in a fully adjusted model, including possible confounders (OR: 2.99 [IC 95% 2.04-4.37]). The effect of obesity was more evident in younger (<70 years) than in older (≥70 years) subjects. CONCLUSIONS: The present data confirm that obesity is associated with an increased risk of hospitalization in patients with COVID-19. Interestingly, the association of obesity with hospitalization was greater in younger (<70 years) patients.

COVID-19/epidemiology , Hospitalization/statistics & numerical data , Obesity/epidemiology , Aged , Chronic Disease/epidemiology , Comorbidity , Female , Humans , Italy/epidemiology , Logistic Models , Male , Middle Aged , Risk Factors , SARS-CoV-2