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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...

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Pre-incision Ultrasound Guided Perineural Catheters Reduce Opioid Requirements but Not Early Pain after Major Lower Limb Amputation: The PRIMA Pilot Randomised Controlled Trial.

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Related Experiment Video

Updated: May 18, 2026

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
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Published on: September 22, 2020

Delay influences outcome after lower limb major amputation.

P W Moxey1, D Hofman, R J Hinchliffe

  • 1Department of Outcomes Research, St George's Vascular Institute, St George's Healthcare NHS Trust, London, UK. paul.moxey@nhs.net

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|September 13, 2012
PubMed
Summary
This summary is machine-generated.

Longer hospital waiting times for major lower limb amputation are linked to poorer patient outcomes, including prolonged recovery and increased in-hospital mortality. Reducing delays is crucial for improving patient survival and recovery after amputation.

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Area of Science:

  • Vascular Surgery
  • Health Services Research
  • Patient Outcomes

Background:

  • Major lower limb amputation is a significant surgical procedure with potential for severe patient morbidity.
  • Optimizing surgical timing is a key aspect of effective patient management.

Purpose of the Study:

  • To determine the association between hospital waiting time for major lower limb amputation and patient outcomes.
  • To analyze the impact of delay on recovery time and in-hospital mortality.

Main Methods:

  • Analysis of 14,168 major lower limb amputations in England (April 2002–March 2006) from Hospital Episodes Statistics (HES).
  • Exclusion of trauma and malignancy-related amputations.
  • Statistical modeling (two-level regression) to assess the effect of Length of Wait (LOW) on recovery and mortality, adjusted for covariates.

Main Results:

  • Length of Wait (LOW) was significantly associated with prolonged recovery in both men and women.
  • Increased LOW correlated with higher in-hospital mortality, particularly in men.
  • Each day of delay increased the risk of in-hospital death by 2%.

Conclusions:

  • Delays in surgical decision-making or theatre access negatively impact patient outcomes after major lower limb amputation.
  • Shorter waiting times are associated with improved recovery and reduced mortality.
  • Timely intervention is critical for optimizing patient survival and length of stay.