Quality of Life and Mortality after Endovascular, Surgical, or Conservative Treatment of Elderly Patients Suffering from Critical Limb Ischemia

Annals of Vascular Surgery
Stijn L SteunenbergLijckle van der Laan

Abstract

Revascularization to relieve ischemic pain and prevent limb loss is the cornerstone of critical limb ischemia (CLI) treatment; however, not all elderly patients are deemed fit for revascularization. Patient-related outcome measurements are important in these patients. Quality of life (QoL) results regarding the effect of endovascular, surgical, and conservative treatment on the QoL in the elderly are scarce in the current literature. The goal of this study was to explore the outcomes of the different treatment modalities in elderly patients suffering from CLI, with a specific focus on QoL. A total of 195 CLI patients ≥70 years were prospectively included between January 2012 and February 2016 and divided into 6 groups (endovascular revascularization, surgical revascularization, and conservative treatment). Two age groups (70-79 and >80 years) were analyzed. Follow-up was performed at 5-7 days, 6 weeks, and 6 months. World Health Organization Quality of Life-BREF questionnaire was used to determine QoL. The Vascular-Physiological and Operative Severity Score for Enumeration of Mortality and Morbidity score was noted. QoL was used as the primary end point, with mortality and limb salvage as the secondary end points. Six-month mor...Continue Reading

Citations

Jan 15, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Sophia A TravenChristopher E Gross
Oct 17, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Lina F WübbekeBarend M E Mees
Dec 31, 2020·Clinical Interventions in Aging·Chloé M L PetersLijckle van der Laan
Mar 30, 2019·Journal of Vascular Surgery·Chloé M L PetersLijckle van der Laan
Jul 28, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Lina F WübbekeBarend M E Mees
Aug 28, 2021·Journal of Clinical Medicine·Sanne W de BoerReinoud P H Bokkers
Dec 4, 2021·Journal of Palliative Medicine·Henry DaviesD Julian A Scott

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