1. Different Mid-Term Prognostic Predictors of Major Adverse Events in Diabetic and Nondiabetic Peripheral Artery Disease Presenting With Critical Limb Ischemia
- Author
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Kae Woei Liang, Chen Rong Tsao, Kuo Yang Wang, Tsun Jui Liu, Wei Wen Lin, Chih Tai Ting, Wen Lieng Lee, and Hsun Nan Kuo
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Critical Illness ,medicine.medical_treatment ,030209 endocrinology & metabolism ,Disease ,030204 cardiovascular system & hematology ,Revascularization ,Severity of Illness Index ,Amputation, Surgical ,Peripheral Arterial Disease ,03 medical and health sciences ,0302 clinical medicine ,Ischemia ,Risk Factors ,Diabetes mellitus ,Internal medicine ,Odds Ratio ,medicine ,Humans ,Renal Insufficiency, Chronic ,Adverse effect ,Aged ,Retrospective Studies ,Aged, 80 and over ,Chi-Square Distribution ,business.industry ,Endovascular Procedures ,Odds ratio ,Critical limb ischemia ,Middle Aged ,Limb Salvage ,medicine.disease ,Surgery ,Logistic Models ,Treatment Outcome ,Lower Extremity ,Amputation ,Multivariate Analysis ,Cardiology ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Vascular Surgical Procedures ,Diabetic Angiopathies ,Kidney disease - Abstract
We compared midterm prognostic predictors of peripheral artery disease (PAD) with or without diabetes mellitus (DM) presenting with critical lower limb ischemia (CLI). A total of 172 patients with PAD (109 DM; 63 non-DM) were enrolled. The major adverse events (MAEs) were death or amputation. The diabetic group had a higher MAE rate (39% vs 22%, P = .042) with a mean follow-up duration of 30 ± 19 months. In a multivariate binary logistic regression analysis, revascularization (odds ratio = 0.289, P = .006) and higher serum cholesterol (odds ratio=0.988, P = .027) predicted a lower MAE rate in the DM group. In contrast, the presence of severe chronic kidney disease (stage 4 or 5, odds ratio = 5.238, P = .025) was a positive predictor of MAEs in the nondiabetic group. In conclusion, the prognostic predictors of MAE in diabetic and nondiabetic patients with PAD and CLI were different.
- Published
- 2013