影响慢性四肢生命质量的风险因素 威胁性缺血症患者
Rui Wu1, Yuan Yu1, Julong Guo1
1Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, 100053, People's Republic of China.
Patient preference and adherence
|July 15, 2025
概括
伤口,缺血和足部感染 (WIfI) 分类显著影响慢性肢体威胁性缺血症 (CLTI) 患者的生活质量 (QoL). 了解WIfI阶段对于改善CLTI患者的治疗结果和QOL至关重要.
科学领域:
- 血管外科 血管外科
- 患者研究成果研究结果
- 生活质量研究 生命质量研究
背景情况:
- 慢性四肢威胁性缺血症 (CLTI) 显著影响患者的生活质量 (QoL).
- 确定CLTI中QOL的独立风险因素对于有针对性的干预措施至关重要.
- 伤口,缺血和足部感染 (WIfI) 分类是评估CLTI严重性的关键工具.
研究的目的:
- 分析影响CLTI患者QoL的独立风险因素.
- 具体评估WIfI分类在确定QoL结果中的作用.
- 为优化CLTI患者管理和提高整体质量提供见解.
主要方法:
- 评估了309名住院的CLTI患者 (Rutherford类别4-6) 的队列.
- 使用血管生活质量问卷 (VascuQoL) 来衡量生活质量.
- 线性回归模型确定了总体VascuQoL得分及其维度的独立风险因素,并分析了WIfI阶段的差异.
主要成果:
- WIfI分类是总体VascuQoL得分和四个QoL维度 (活动,症状,情绪健康,社交互动) 的重要独立预测因素.
- 较低的WIfI阶段与更好的QoL结果相关.
- 影响QoL的额外危险因素包括女性性别,吸烟史,脑梗塞史和先前的四肢再血管化.
结论:
- CLTI显著降低了患者的QoL.
- 在CLTI患者中,WIfI分类是QoL的关键决定因素.
- WIfI分期为管理CLTI和改善患者福祉提供了有价值的预后信息.
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