The Prediction of Cardiac Risk in Patients Undergoing Vascular Surgery

Morise, Anthony P.; McDowell, Donald E.; Savrin, Ronald A.; Goodwin, Claudia A.; Gabrielle, Orlando F.; Oliver, Francis N.; Nullet, Francis R.; Bekheit, Soad; Jain, Abnash C.

doi:10.1097/00000441-198703000-00002

Cited by 13 publications

(2 citation statements)

References 19 publications

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“…Although less devastating than lower extremity amputation, lower-extremity bypass surgery is associated with 30-day mortality from 2% to 8% and five-year graft failure rates from 50% to 90% with higher rates of failure for persons with critical limb ischemia versus claudication 5. In addition, PAD patients who undergo lower extremity bypass surgery have a 20% risk of amputation within 5 years 3,6…”

Section: Introductionmentioning

confidence: 99%

Mortality following operations for lower extremity peripheral arterial disease

Collins¹

2010

VHRM

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BackgroundWe sought to identify risk factors associated with mortality following surgery for peripheral arterial disease (PAD).MethodsWe evaluated the association between levels of control of atherosclerotic risk factors and time to mortality following either lower extremity bypass surgery or lower extremity amputation using Cox proportional hazards regression.ResultsAmong 796 patients with PAD (defined by an ankle-brachial index [ABI] < 0.9), 230 (28.9%) underwent an operation for PAD (136, lower-extremity bypasses; 111, lower-extremity amputations). Participants were followed for up to six years after their diagnosis of PAD. A total of 107 (46.5% of the 230) died during the period of follow-up. Factors associated with mortality following lower extremity bypass surgery included age 70 years and older hazard ratio [HR] 1.88; 95% confidence interval [CI]: 1.01–3.51) and of African American race (HR 1.94; 95% CI: 1.04–3.62). Renal insufficiency was significantly associated with mortality following lower extremity amputation (HR 2.19; 95% CI: 1.16–4.13).ConclusionOur data provide information on preoperative risk variables to consider when assessing long-term mortality in persons with PAD who are undergoing surgery for PAD.

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Section: Introductionmentioning

confidence: 99%

Mortality following operations for lower extremity peripheral arterial disease

Collins¹

2010

VHRM

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“…5 Lower extremity bypass surgery, even when successful, is associated with a 30-day mortality of 2% to 8%, 5-year graft failure rates of 20% to 90%, and 5-year risk of amputation that remains as high as 20%. 6 Leg amputation is associated with an impairment of functional status, reduced quality of life, and high mortality. [7][8][9][10][11] Thus, although most prior PAD specific clinical trials have evaluated interventions to decrease systemic ischemic events, or to improve claudication, the role of process of care to reduce limb events has received much less attention.…”

Section: Introductionmentioning

confidence: 99%

Process of Care and Outcomes in Patients with Peripheral Arterial Disease

et al. 2007

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Our data suggest that glucose control is key to reducing the risk for adverse outcomes, particularly limb events in African Americans. Certain process of care measures, as markers of disease severity and disease management, are associated with poor outcomes in patients with PAD. Further work is needed to determine the role of early disease intervention to reduce poor outcomes in patients with PAD.

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Perioperative care of the vascular surgery patient

Granieri

Macpherson

1992

J Gen Intern Med

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The Prediction of Cardiac Risk in Patients Undergoing Vascular Surgery

Cited by 13 publications

References 19 publications

Mortality following operations for lower extremity peripheral arterial disease

Mortality following operations for lower extremity peripheral arterial disease

Process of Care and Outcomes in Patients with Peripheral Arterial Disease

Perioperative care of the vascular surgery patient

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