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dc.contributor.authorFagundes, Clebespt_BR
dc.contributor.authorFuchs, Flávio Dannipt_BR
dc.contributor.authorFagundes, Almondipt_BR
dc.contributor.authorPoerschke, Ronaldo Andrépt_BR
dc.contributor.authorVacaro, Maurício Z.pt_BR
dc.date.accessioned2017-01-04T02:26:48Zpt_BR
dc.date.issued2005pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/150407pt_BR
dc.description.abstractObjective: To investigate the risk profile of patients with thrombosis and emboli, and prognostic factors for death or amputation in patients presenting with acute limb ischemia in a tertiary care regional hospital in Brazil. Methods: A prospectively planned cohort study was carried out in which 83 patients with acute limb ischemia, secondary to thrombosis, or embolism, classified in stages II and III of severity were evaluated. Univariate analysis and logistic regression models were used to explore the relationship between anthropometric and demographic characteristics, comorbidities, cardiovascular risk factors, duration of occlusion, and type of surgery with the incidence of amputation or death, which were evaluated in 30 days and 1 year thereafter. Results: Male gender, smoking, and comorbidities were more frequent among patients with thrombosis, and atrial fibrillation was more common among patients with embolism. Occlusion longer than 24 hours (odds ratio [OR] 2.6, 95% confidence interval [CI] 1.1–7.6) and a trend for diabetes (RR 2.6, 95% CI 0.9–7.5) were the characteristics associated with death or amputation in the multivariate analysis, which occurred in 15 (18.1%) and 24 (28.9%) of the participants, respectively. Reperfusion injury was a risk factor for death but not for amputation (OR 16.9, 95% CI 1.1–232.9) after adjustment for age, duration of occlusion, and diabetes. Conclusions: Traditional and avoidable risk factors explain the occurrence of thrombosis and embolism in our region. Access to medical care is the most important and modifiable prognostic factor for death or amputation.en
dc.format.mimetypeapplication/pdf
dc.language.isoengpt_BR
dc.relation.ispartofVascular health and risk management. Albany. Vol. 1, no. 4 (2005), p. 345-349pt_BR
dc.rightsOpen Accessen
dc.subjectIsquemiapt_BR
dc.subjectAcute limb ischemiaen
dc.subjectEmbolismen
dc.subjectEmboliapt_BR
dc.subjectTrombosept_BR
dc.subjectThrombosisen
dc.subjectPrognostic factorsen
dc.titlePrognostic factors for amputation or death in patients submitted to vascular surgery for acute limb ischemiapt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000535273pt_BR
dc.type.originEstrangeiropt_BR


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