دورية أكاديمية
Daytime and scheduled surgery for major dysvascular lower extremity amputation
| العنوان: | Daytime and scheduled surgery for major dysvascular lower extremity amputation |
|---|---|
| المؤلفون: | Ignatiussen, Martha Etlm, Pedersen, Poul, Holm, Gitte, Thomsen, Morten Grove, Kristensen, Morten Tange |
| المصدر: | Ignatiussen , M E , Pedersen , P , Holm , G , Thomsen , M G & Kristensen , M T 2023 , ' Daytime and scheduled surgery for major dysvascular lower extremity amputation ' , Danish Medical Journal , vol. 70 , no. 3 , A07220435 . < https://ugeskriftet.dk/dmj/daytime-and-scheduled-surgery-major-dysvascular-lower-extremity-amputationTest > |
| سنة النشر: | 2023 |
| المجموعة: | University of Copenhagen: Research / Forskning ved Københavns Universitet |
| مصطلحات موضوعية: | Humans, Aged, 80 and over, Amputation, Surgical, Diabetes Mellitus, Lower Extremity/surgery, Knee Joint, Atherosclerosis, Risk Factors, Retrospective Studies |
| الوصف: | INTRODUCTION. Patients undergoing a major dysvascular lower extremity amputation (LEA) often have a poor outcome with a high risk of complications and mortality despite improvements in care and perioperative programmes. We evaluated whether scheduled surgery would reduce the failure rate in patients with a major LEA. METHODS. A total of 328 consecutive patients undergoing a major LEA from 2016 to 2019 were enrolled at a single centre. Early failure was defined as re-amputation or revision within 30 days of the index amputation. In 2018, a new regime comprising two scheduled surgery days was implemented. The risk of failure comparing the two cohorts (2016-2017, n = 165 versus 2018-2019, n = 163) was calculated for amputation on scheduled versus non-scheduled days and for other potentially influencing factors. RESULTS. The median (25-75% quartiles) age of all patients was 74 (66-83) years, 91% had an American Society of Anesthesiologists (ASA) grade ≥ 3 and 92% had atherosclerosis or diabetes mellitus. The index amputee levels were 36% below-knee, 60% transfemoral and 4% bilateral transfemoral. In the intervention cohort, 59% were amputated on the scheduled days versus 36% in the control group (p < 0.001). Correspondingly, more patients (72.4% versus 57.6%, p = 0.005) were amputated during daytime and the 30-day failure rate was reduced to 11.0% (n = 18) versus 16.4% (n = 27) (p = 0.2). Risk of failure on scheduled days in the intervention group was 8.3% versus 14.9% on any other day (p = 0.2). Correspondingly, daytime surgery reduced the risk of failure (6.8% versus 22.2%, p = 0.005). CONCLUSION. Daytime and scheduled surgery for major LEA may possibly reduce early risk of failure. FUNDING. none. TRIAL REGISTRATION. not relevant. ; INTRODUCTION: Patients undergoing a major dysvascular lower extremity amputation (LEA) often have a poor outcome with a high risk of complications and mortality despite improvements in care and perioperative programmes. We evaluated whether scheduled surgery would reduce the failure ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| الإتاحة: | https://curis.ku.dk/portal/da/publications/daytime-and-scheduled-surgery-for-major-dysvascular-lower-extremity-amputationTest(f33018fb-4a51-4755-8668-a2db1534d4c6).html https://curis.ku.dk/ws/files/364054108/A07220435_WEB_1.pdfTest https://ugeskriftet.dk/dmj/daytime-and-scheduled-surgery-major-dysvascular-lower-extremity-amputationTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.520CE51E |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |