1. Wound healing after revascularization for critical limb ischemia
- Author
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Akihiko Seo, Kota Yamamoto, Toshio Takayama, Masaya Sano, Daisuke Akagi, Atsushi Akai, and Katsuyuki Hoshina
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,medicine.medical_treatment ,Ischemia ,Kaplan-Meier Estimate ,030204 cardiovascular system & hematology ,030230 surgery ,Revascularization ,Risk Assessment ,Severity of Illness Index ,Disease-Free Survival ,Hospitals, University ,03 medical and health sciences ,Peripheral Arterial Disease ,0302 clinical medicine ,Predictive Value of Tests ,Risk Factors ,medicine ,Humans ,Stage (cooking) ,Aged ,Proportional Hazards Models ,Retrospective Studies ,Aged, 80 and over ,Wound Healing ,integumentary system ,business.industry ,Hazard ratio ,Endovascular Procedures ,Retrospective cohort study ,Critical limb ischemia ,Middle Aged ,medicine.disease ,University hospital ,Limb Salvage ,Surgery ,body regions ,Treatment Outcome ,Lower Extremity ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Wound healing - Abstract
BACKGROUND Wound healing is one of the most important endpoints after revascularization for critical limb ischemia. The purpose of this study was to evaluate the risk factors for wound healing after revascularization for critical limb ischemia (CLI). METHODS A retrospective study was conducted at a single university hospital, and data were collected retrospectively between January 2005 and September 2016. All admitted patients who were diagnosed with CLI and underwent revascularization for the first time were enrolled. The risk factors for wound healing were analyzed. RESULTS The risk factors for wound healing were analyzed in 153 patients. The cumulative rate of wound healing at 12 months after revascularization was 79%. The independent risk factors for wound healing were non-ambulatory status (hazard ratio, 1.95; 95% CI [1.22-3.21], P=0.004), and wound, ischemia and foot infection (WIfI) stage 4 (hazard ratio, 1.89; 95% CI [1.25-2.91], P=0.002). CONCLUSIONS In our study, non-ambulatory status and WIfI stage 4 were independent risk factors for wound healing after revascularization. WIfI criteria well reflected the prognosis of patients with CLI in wound healing, as well as limb salvage.
- Published
- 2019