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Different Mid-Term Prognostic Predictors of Major Adverse Events in Diabetic and Nondiabetic Peripheral Artery Disease Presenting With Critical Limb Ischemia.

Authors :
Liang, Kae-Woei
Kuo, Hsun-Nan
Lee, Wen-Lieng
Liu, Tsun-Jui
Lin, Wei-Wen
Tsao, Chen-Rong
Ting, Chih-Tai
Wang, Kuo-Yang
Source :
Angiology. Mar2016, Vol. 67 Issue 3, p287-291. 5p.
Publication Year :
2016

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00033197
Volume :
67
Issue :
3
Database :
Academic Search Index
Journal :
Angiology
Publication Type :
Academic Journal
Accession number :
113107910
Full Text :
https://doi.org/10.1177/0003319712475074