Skip to main content

Study Looks at Illness Trajectories After Revascularization in Patients With PAD

Medically reviewed by Carmen Pope, BPharm. Last updated on July 23, 2024.

By Elana Gotkine HealthDay Reporter

MONDAY, July 22, 2024 -- For patients undergoing lower limb revascularization for peripheral artery disease (PAD), the amputation rate is higher for nonelective patients, as is the mortality rate at five years after revascularization, according to a study published in the July 23 issue of Circulation.

Qiuju Li, Ph.D., from the London School of Hygiene and Tropical Medicine, and colleagues analyzed 94,690 patients (≥50 years) undergoing limb revascularization for PAD from 2013 to 2020 to examine the illness trajectories.

The researchers found that 34.8 percent of patients had nonelective revascularization and the others had elective procedures. The amputation rate was 15.2 and 19.9 percent at one and five years, respectively, after revascularization for nonelective patients. The corresponding amputation rates were 2.7 and 5.3 percent for elective patients. Patients who were younger, had tissue loss, diabetes, greater frailty, nonelective revascularization, and more distal procedures had higher risk of major amputation. At five years after revascularization, the mortality rate was 64.3 and 33.0 percent for nonelective and elective patients, respectively. Patients were at increased risk of mortality if they underwent major amputation within six months after index revascularization.

"People with severe forms of PAD requiring urgent surgery tend to have extremely poor disease progress," Li said in a statement. "They are at high risk of limb loss and all-cause death following the initial surgery."

Abstract/Full Text (subscription or payment may be required)

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

© 2024 HealthDay. All rights reserved.

Posted July 2024

Read this next

Gender-Based Variation Seen in Medicare Reimbursement for Surgery

THURSDAY, July 25, 2024 -- Considerable gender-based variation is seen in practice patterns and reimbursement among different surgical subspecialties serving the Medicare...

Preop Lab Values May ID Risk of Postarthroplasty Joint Infection in Morbid Obesity

THURSDAY, July 25, 2024 -- Certain preoperative laboratory values may predict risk of periprosthetic joint infection (PJI) among individuals with morbid obesity undergoing...

Nudge in EHR Can Reduce Unnecessary Sentinel Lymph Node Biopsy

THURSDAY, July 25, 2024 -- A nudge intervention in the electronic health record (EHR) targeting surgeons can reduce sentinel lymph node biopsy (SLNB) among women who meet the...

More news resources

Subscribe to our newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.