Social, demographic and clinical characteristics of patients suffering from peripheral vascular disease treated surgically compared to patients treated with endovascular angioplasty

Abstract

IntroductionAtherosclerosis is the most common cause of chronic lower limb ischaemia. Many factors that have a crucial influence on the development of the disease, its course and prognosis have been identified. The risk factors seem to be subject to interventions due to their susceptibility to changes. It is important to increase the engagement of doctors and nurses performing the screening oriented on risk factors, medical consultation regarding giving up smoking, changing the diet and undertaking physical activity. Therefore, knowledge of the patients’ health situation allows introduction of optimal treatment in this group of patients.Material and methodsThe study group consisted of 119 patients with peripheral artery atherosclerosis, who underwent surgical and endovascular repair. The diagnostic survey method was used in this study. The socio-demographic and clinical data were collected using an originally developed questionnaire. The statistical analysis was performed using the data analysis software system Statistica, version 10.0, by StatSoft Inc. (2011) and an Excel spreadsheet. The statistical significance was set at p < 0.05 for all calculations.ResultsThere were statistically significant differences between the analysed groups with regard to severity of ischaemia (p = 0.0001), intermittent claudication (p = 0.0001), rest pain (p = 0.0001), ulceration (p = 0.0031), smoking (p = 0.0075) and comorbidities (percutaneous coronary interventions p = 0.0299; ischaemic stroke p = 0.0235).ConclusionsThere are significantly more patients with more advanced disease and ex-smokers in the surgically treated group. There are significantly more patients with a history of ischaemic stroke, surgical coronary interventions and current smokers in the endovascular group.

Outcomes and safety of electronic consult use in vascular surgery

“…Given that vascular surgery patients are generally older and functionally limited, a consult system that is more easily accessible than the traditional in-person consultation could fill a necessary gap in the care of our patients. 15,16 This study provides utilization, compliance rates, and long-term outcomes after eConsult and shows its relative effectiveness and safety in comparison to current outcomes after traditional consultation. Anecdotally, the patients and providers appreciate this service, given travel times for patients and the directness to the referring physician.…”

Disease acceptance and social support in patients with peripheral vascular diseases treated in the surgical ward

“…More advanced lower limb ischaemia, rest pain and foot ulcerations were observed significantly more frequently in the group of patients qualified for surgical treatment than in the endovascular group. Additionally, most common concomitant in the operating group were hypertension, diabetes, coronary heart disease and myocardial infarction (Piotrkowska et al, 2017 ). In a self‐study, a third of patients with vascular disease showed two or more concomitant diseases.…”

Factors associated with anxiety and depression in hospitalized patients with first episode of acute myocardial infarction

“…Lower education indicates lower awareness of adopting a healthy lifestyle and lower preventive measures such as screening programs or frequent visits to general practitioners [ 30 , 31 ]. Individuals with a low level of education constitute a high-risk population for atherosclerosis, which is attributed to their preferred life-style [ 32 ].…”