Document Detail


Operative mortality and long-term survival of patients operated on for acute lower limb ischaemia.
MedLine Citation:
PMID:  9551053     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To investigate the operative mortality and long-term survival of patients with lower limb embolism or acute thrombosis. DESIGN: A retrospective survival analysis. MATERIALS: Eighty patients with acute thrombosis treated by bypass and 192 patients with embolism treated by embolectomy during the years from 1985 to 1996 were studied. METHODS: The observed survival rates were calculated with the product limit method. The expected survival rates were estimated from death-rate tables. The standard mortality rate was compared over a 5-year follow-up. RESULTS: The patients treated for embolism had an operative mortality of 17% and a 5-year survival rate of 17%, which was significantly lower than the expected rate of 62%. Those treated for acute thrombosis had an operative mortality of 14% and a 5-year survival rate of 44%. This was significantly higher than for the embolism group, but significantly lower than the expected rate of 74%. Both groups had a standard mortality rate of 2.2 at 5 years. CONCLUSION: Patients with acute ischaemia have a poor short-term and long-term prognosis. The patients treated for embolism are older and they have a shorter life expectancy than those treated for acute thrombosis. The standard mortality rate of the two groups appears similar.
Authors:
S Aune; A Trippestad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  15     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-05-07     Completed Date:  1998-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  143-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Haukeland University Hospital, Bergen, Norway.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Embolism / surgery
Female
Humans
Ischemia / surgery*
Leg / blood supply,  surgery*
Male
Middle Aged
Retrospective Studies
Sex Factors
Survival Rate
Survivors
Thrombosis / surgery
Vascular Surgical Procedures / mortality*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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