Author + information
The prognosis of patients with critical limb ischemia (CLI) is very poor. Revascularization therapy is effectiveness for lower limb salvage, however it is not enough for improved prognosis and maintaining of quality of life among these patients with CLI. The factors of improvement of quality of life among these patients were unknown. We evaluated the factors of affected on early prognosis in patients CLI.
We investigated one hundred forty eight patients (mean age,71±11 years, male 65.3%, end stage renal disease 63.3%, in hospital death 5.4% ) with CLI who undergo endovascular therapy. These patients were divided into two groups. Discharge to usual residence (DR) group n=97, Failure of discharge to usual residence (FDR) group n=51.
The hospitalization period in FDR group was significantly longer than in DR group.Body mass index (BMI), Hemoglobin and Albumin in DR group were significantly higher than in FDR group. The Frailty score in FDR group were significantly higher than in DR group. The prevalence of prior coronary heart disease, end stage renal disease, cerebrovascular disease and amputation were no significant differences between two groups. Multivalent analysis revealed that frailty score is an independent predictor of failure of discharge to usual residence among patients with CLI. (Odd’s ratio 2.89 95% CI 1.74-4.79 p<0.01)
The frailty score is an independent predictor of failure of discharge to usual residence among patients with CLI.
ENDOVASCULAR: Peripheral Vascular Disease and Intervention