| Autor: |
Shannon, Alexander H., de Grijs, Derek P., Goudreau, Bernadette J., Mehaffey, J. Hunter, Cullen, J. Michael, Williams, Carlin, Robinson III, William P. |
| Předmět: |
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| Zdroj: |
Angiology; Feb2021, Vol. 72 Issue 2, p159-165, 7p |
| Abstrakt: |
The objective of this study is to describe utilization of revascularization and tissue resection in patients with chronic limb-threatening ischemia (CLTI) and determine whether the timing of resection impacts outcomes. Revascularizations for CLTI were queried (ACS-NSQIP 2011-2015). Outcomes included 30-day major adverse limb events (MALE), major adverse cardiac events (MACE), length of stay (LOS), operative time, 30-day readmissions, and wound infections. Groups included revascularization alone, revascularization/tissue resection during the same procedure (concurrent), or revascularization/delayed tissue resection (delayed). Resections were debridement or transmetatarsal amputations. Multivariate logistic regression determined risk-adjusted effects of tissue resection on outcomes. There was no difference in overall 30-day MACE or MALE between groups (P =.70 and P =.35, respectively). Length of stay (6.1 days revascularization alone vs 7.8 days concurrent vs 8.7 days delayed, P <.0001) was longer in patients who underwent any tissue resection. Highest 30-day readmission and operative time was the concurrent group (P =.02 and P <.0001, respectively). Wound infection was highest in the delayed group (1.4% revascularization alone vs 1.3% concurrent vs 6.2% delayed, P <.0001). After risk adjustment, timing of resection did not impact LOS for concurrent and delayed groups compared to revascularization alone (both P <.0001). Debridement and minor amputations can be done concurrently in patients undergoing revascularization for CLTI. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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