在患有功能衰竭的患者中,慢性四肢威胁性缺血的治疗位置变化
Stephanie L Rakestraw1, Zdenek Novak1, Michael Wang1
1Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
The Journal of surgical research
|October 8, 2023
概括
末期病 (ESKD) 患有慢性肢体威胁性缺血症 (CLTI) 的患者患糖尿病和部疾病的比例更高. ESKD,糖尿病和黑人种族是CLTI患者干预的重要风险因素.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- 末期病 (ESKD) 是慢性四肢威胁性缺血症 (CLTI) 的已知危险因素.
- 对于接受CLTI干预的ESKD患者的程序位置没有得到充分的记录.
- 了解这些变异对于优化患者护理和结果至关重要.
研究的目的:
- 为了比较外周血管干预的指数手术位置在CLTI患者和没有ESKD.
- 确定与CLTI患者,特别是患有ESKD患者的小腿干预相关的术前风险因素.
主要方法:
- 利用血管质量倡议 (VQI) 外围血管干预数据集来识别CLTI患者.
- 比较ESKD和非ESKD群体之间的人口统计和并发症,以及骨与非骨干预之间的比较.
- 进行多变量后勤回归以确定骨干预的风险因素.
主要成果:
- 在23,480个CLTI手术中,13.6%涉及ESKD患者.
- 与非ESKD患者相比,ESKD患者更年轻,更有可能是黑人,男性和糖尿病患者.
- 确定ESKD,黑人种族和糖尿病是干预的重要风险因素 (分别为OR 1.67,1.19和1.82).
结论:
- 患有ESKD和CLTI的患者患糖尿病和部疾病的发病率较高,吸烟率较低.
- 在CLTI患者中,部疾病与ESKD,糖尿病和黑人种族的存在有显著联系.
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