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Demographic, clinical, and anthropometric profiles and postoperative outcomes in patients with chronic limb

Lily P Wu1, Jean Paul Milambo1, Nadraj Naidoo1

  • 1Department of Surgery, University of Cape Town, Groote Schuur Hospital, Vascular Surgery Unit, Cape Town, South Africa.

Nigerian Journal of Clinical Practice
|April 14, 2021
PubMed

Insights

Chronic limb-threatening ischemia (CLTI) patients often present with obesity and high smoking rates. Postoperative ambulation recovery is significantly better for patients who were already mobile before surgery.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Research
  • Public Health

Background:

  • Chronic limb-threatening ischemia (CLTI) is a severe complication of peripheral artery disease.
  • CLTI presents with ischemic pain, nonhealing ulcers, or gangrene, posing a high risk for amputation and cardiovascular events.

Purpose of the Study:

  • To evaluate the demographic and anthropometric profile of CLTI patients.
  • To assess postoperative outcomes in CLTI patients over a 2-year follow-up period.

Main Methods:

  • Prospective descriptive pilot study of adult CLTI patients (2015-2016).
  • Data collected via vascular questionnaire, including demographics, anthropometrics, and outcomes.
  • Kaplan-Meier analysis used for postoperative outcome assessment.

Main Results:

  • High prevalence of truncal obesity (50.6% BMI >25.0) and smoking (86%).
  • One-year limb salvage rate was 79%; ambulation rate was 67%.
  • Patients ambulatory preoperatively largely maintained mobility postoperatively.

Conclusions:

  • CLTI patients frequently exhibit obesity and high smoking rates.
  • Significant postoperative ambulatory recovery observed in previously mobile patients.
Abstract

Keywords:
Anthropometric Profilecritical limb ischemiapostoperative outcomes

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