Wound healing after revascularization for critical limb ischemia.
Aged
Aged, 80 and over
Disease-Free Survival
Endovascular Procedures
Female
Hospitals, University
Humans
Ischemia
/ diagnosis
Kaplan-Meier Estimate
Limb Salvage
Lower Extremity
/ blood supply
Male
Middle Aged
Peripheral Arterial Disease
/ diagnosis
Predictive Value of Tests
Proportional Hazards Models
Retrospective Studies
Risk Assessment
Risk Factors
Severity of Illness Index
Time Factors
Treatment Outcome
Wound Healing
Journal
International angiology : a journal of the International Union of Angiology
ISSN: 1827-1839
Titre abrégé: Int Angiol
Pays: Italy
ID NLM: 8402693
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
pubmed:
22
5
2019
medline:
19
12
2019
entrez:
22
5
2019
Statut:
ppublish
Résumé
Wound healing is one of the most important endpoints after revascularization for critical limb ischemia. The purpose of this study was to evaluate the risk factors for wound healing after revascularization for critical limb ischemia (CLI). A retrospective study was conducted at a single university hospital, and data were collected retrospectively between January 2005 and September 2016. All admitted patients who were diagnosed with CLI and underwent revascularization for the first time were enrolled. The risk factors for wound healing were analyzed. The risk factors for wound healing were analyzed in 153 patients. The cumulative rate of wound healing at 12 months after revascularization was 79%. The independent risk factors for wound healing were non-ambulatory status (hazard ratio, 1.95; 95% CI [1.22-3.21], P=0.004), and wound, ischemia and foot infection (WIfI) stage 4 (hazard ratio, 1.89; 95% CI [1.25-2.91], P=0.002). In our study, non-ambulatory status and WIfI stage 4 were independent risk factors for wound healing after revascularization. WIfI criteria well reflected the prognosis of patients with CLI in wound healing, as well as limb salvage.
Sections du résumé
BACKGROUND
BACKGROUND
Wound healing is one of the most important endpoints after revascularization for critical limb ischemia. The purpose of this study was to evaluate the risk factors for wound healing after revascularization for critical limb ischemia (CLI).
METHODS
METHODS
A retrospective study was conducted at a single university hospital, and data were collected retrospectively between January 2005 and September 2016. All admitted patients who were diagnosed with CLI and underwent revascularization for the first time were enrolled. The risk factors for wound healing were analyzed.
RESULTS
RESULTS
The risk factors for wound healing were analyzed in 153 patients. The cumulative rate of wound healing at 12 months after revascularization was 79%. The independent risk factors for wound healing were non-ambulatory status (hazard ratio, 1.95; 95% CI [1.22-3.21], P=0.004), and wound, ischemia and foot infection (WIfI) stage 4 (hazard ratio, 1.89; 95% CI [1.25-2.91], P=0.002).
CONCLUSIONS
CONCLUSIONS
In our study, non-ambulatory status and WIfI stage 4 were independent risk factors for wound healing after revascularization. WIfI criteria well reflected the prognosis of patients with CLI in wound healing, as well as limb salvage.
Identifiants
pubmed: 31112022
pii: S0392-9590.19.04096-3
doi: 10.23736/S0392-9590.19.04096-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM