742. Identification of Barriers to Shifting Management of Diabetic Foot Infections from the Hospital Setting to a Multidisciplinary Wound Clinic

Abstract Background Hospitalized patients with diabetic foot infections (DFI) are commonly stable upon admission and lack signs of sepsis, necrotizing fasciitis, critical limb ischemia, or bacteremia. Patients admitted for key components DFI care: non-urgent procedures source control; radiographic imaging; cultures; consultation infectious diseases (ID), podiatry, vascular surgery; peripherally inserted central catheter (PICC) access. We aimed to identify the proportion low acuity who were hospitalized characterize potential barriers outpatient management. Methods Between 2020 2021, data from medical record abstracted adult Michigan Medicine an ICD-10 diagnosis DFI. categorized into high cohorts. High was defined as Low clinical stability (≤ 1 systemic inflammatory response syndrome (SIRS) criteria) without criteria. The primary outcome prevalence DFIs hospital, duration hospitalization, associated costs. Secondary outcomes included 30-day all-cause mortality, recurrence, readmission, time completion care (non-urgent procedures; ID, PICC access). Results Of 64 patients, 37 (58%) 27 (42%) acuity. All clinically on a median hospitalization length 6.3 days. Figure shows stability. group had recurrence 5.4%; readmission 10.8%; mortality 5.4%. cost low-acuity $55,500 per patient. Conclusion More than half acuity, could have avoided hospitalization. These days total $55,500. Developing coordinated process manage may avoid unnecessary hospitalizations reduce healthcare cost. Disclosures Authors: No reported disclosures.