This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Objective: To identify important risk factors for subsequent amputation within one year after surgery in patients with acute lower
limb ischemia undergoing distal arterial bypass.
Methods: A chart review of patients undergoing distal vascular bypass for lower limb ischemia within the 5-year period between
2006 and 2011 was done. All patients were followed for at least one year. The outcome of interest was the need for amputation of
the treated limb within one year after bypass surgery. Potential risk factors associated with the need to perform amputations were
abstracted from the medical charts. Logistic regression and chi-square tests were used to identify significant associations between
risk factors and amputation.
Results: Of 128 patients reviewed, only 18 (14%) had amputations within one year. Although there was a trend for increased risk of
amputation for patients with a history of smoking, DM, renal dysfunction, presenting with rest pain, lower ABI, multilevel disease,
circumferential thickening of the stenosis, and lower risk for patients taking postoperative antiplatelets (but not anticoagulants),
the only significant risk factor at the 5% level were poorly controlled diabetes mellitus after operation and cerebrovascular disease.
Conclusion: A few well-known risk factors were associated with increased risk of early amputation after arterial bypass surgery
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals