Outcome of Femoral-popliteal Bypass Procedures in Different Ethnic Groups in England: A Retrospective Analysis of Hospital Episode Statistics
| Autor: | Mark Kay, Antonios Vitalis, Rajiv K. Vohra, Gregory Y.H. Lip, Alena Shantsila |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Time Factors Ethnic group Black People Femoropopliteal bypass 030204 cardiovascular system & hematology Risk Assessment Amputation Surgical State Medicine White People 030218 nuclear medicine & medical imaging Femoral popliteal bypass 03 medical and health sciences Peripheral Arterial Disease 0302 clinical medicine Asian People Risk Factors Statistics Retrospective analysis Medicine Humans Leg amputation Aged Retrospective Studies Aged 80 and over business.industry General Medicine Odds ratio Health Status Disparities Middle Aged Limb Salvage Confidence interval Hospitals Race Factors Treatment Outcome England Lower Extremity Ethnic and Racial Minorities Surgery Female Vascular Grafting Cardiology and Cardiovascular Medicine business Limb loss |
| Zdroj: | ANNALS OF VASCULAR SURGERY |
| Popis: | Previous studies, mainly from the United States, have reported worse outcomes from lower limb bypass procedures in ethnic minority populations. Limited nationwide data are available from ethnic minority populations from Europe. The aim of this study is to investigate outcomes from lower limb bypass procedures in ethnic minorities from England.We enquired the "Hospital Episode Statistics" database, using ICD-10 codes to identify all cases of femoral-popliteal bypass operations from English NHS Hospitals from 01/01/2006 to 31/12/2015. Every case was followed up for 2 years for subsequent events. The primary outcomes were mortality and major leg amputation. Patients were broadly categorised according to Black, Asian and White ethnicity. Chi-square test was used to the ethnic groups and odds ratios (OR) were calculated using White ethnic group with the largest numbers of participants as a reference category.In the examined 10-year period, 20825 femoral-popliteal bypass procedures (250 of Black, 167 of Asian, and 20.408 of White ethnicity) were recorded. Thirty-day and 2-year mortality were 2.8% and 16.8% with no significant ethnic differences. Patients of Black ethnicity had higher risk of limb loss compared to Whites (23.2% vs. 15.6%, OR = 1.63, 95% confidence interval (CI) 1.21-2.19, P0.01). There was no significant difference in amputation rates between Asians and Whites (16.2% vs.. 15.6%, P = 0.94).Patients of Black ethnicity are at higher risk of limb loss after a femoropopliteal bypass procedure. Further research is needed to identify the causes of this discrepancy. |
| Databáze: | OpenAIRE |
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