Does the Introduction of a Vascular Limb Salvage Service Improve One Year Amputation Outcomes for Patients with Chronic Limb-Threatening Ischaemia?

Major limb amputation and mortality in patients with neuro‐ischaemic lower extremity wounds managed in a tertiary hospital: Focus on the differences among patients with diabetes, peripheral arterial disease and both

“…A more efficient referral pathway between primary and tertiary care is also needed. [31][32][33] The health care economic data of the current study also could form a benchmark information for cost-effectiveness evaluation of future service reform for NIU patients of different categories.…”

“…In view of the poorer prognosis and higher need of multi‐modality treatment for NIU patients with lower limb ischaemia, primary health clinicians should refer this category of patients to tertiary care promptly once diagnosis is established. A more efficient referral pathway between primary and tertiary care is also needed 31‐33 . The health care economic data of the current study also could form a benchmark information for cost‐effectiveness evaluation of future service reform for NIU patients of different categories.…”

The Impact of the COVID-19 Pandemic on a Dedicated Vascular Emergency Clinic

“…Details of the clinic have been described previously. 6 Briefly, the clinic opened in February 2018 providing a “one stop”, open access, urgent outpatient based vascular limb salvage clinic for adult patients with suspected CLTI. The primary aim of the clinic was to reduce MLLA for patients with CLTI, through rapid assessment and intervention (within 14 days of referral).…”

“…5 We have previously reported that a dedicated vascular limb salvage clinic facilitates rapid assessment and revascularisation of patients with CLTI, that in turn leads to a reduction in MLLA rates. 6 To date, the ability of this model of limb salvage care to withstand unexpected and rapid changes in healthcare service provision and maintain rapid access and treatment for patients with CLTI has not been examined.…”

Associations of Clinical Frailty with Severity of Limb Threat and Outcomes in Chronic Limb-threatening Ischaemia

“…The Leicester Vascular Limb Salvage (VaLS) clinic is a rapid-access clinic for individuals with suspected CLTI. 20 All patients undergo an assessment of frailty using the Clinical Frailty Scale (CFS) and limb threat assessed using the WIfI score at their first VaLS clinic attendance. 6,21 The CFS is clinician assessed, based on patient-reported functional performance over the preceding two-weeks, and rated on a 9-point scale representing increasing frailty.…”