ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASE
Objective – to investigate the structure of non-surgical complications after operation, define its effect on in-hospital mortality in lower limb amputations in patients with peripheral artery disease. Materials. A retrospective analysis of 656 case records of patients with peripheral artery disease...
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| Format: | Article |
| Language: | Russian |
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The Publishing House Medicine and Enlightenment
2018-08-01
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| Series: | Medicina v Kuzbasse |
| Subjects: | |
| Online Access: | http://mednauki.ru/index.php/MK/article/view/260 |
| _version_ | 1818765626484719616 |
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| author | Денис Николаевич Макаров Елена Михайловна Васильченко |
| author_facet | Денис Николаевич Макаров Елена Михайловна Васильченко |
| author_sort | Денис Николаевич Макаров |
| collection | DOAJ |
| description | Objective – to investigate the structure of non-surgical complications after operation, define its effect on in-hospital mortality in lower limb amputations in patients with peripheral artery disease.
Materials. A retrospective analysis of 656 case records of patients with peripheral artery disease that undergone lower limb amputation was performed. Identification of independent factors that influence mortality rate was performed using binary logit regression model.
Results. The risk of in-hospital mortality increases 33,7-fold in case of development of acute kidney failure, in case of thromboembolia of the pulmonary artery it increases 17,6-fold, pulmonary edema – 14,3-fold increase, and myocardial infarction – 6,3-fold increase.
Conclusions. Non-surgical complications after operation following lower limb amputation in patients with obliterative arterial disease developed in 24,8 % of cases. Despite psychiatric disorders developed more often than other complications, they did not influence the in-hospital mortality. Acute kidney failure, thromboembolia of the pulmonary artery, pulmonary edema and myocardial infarction that developed in the postoperative period are the independent predictors of in-hospital mortality in limb amputation in patients with peripheral artery disease. |
| first_indexed | 2024-12-18T08:21:05Z |
| format | Article |
| id | doaj.art-4e70458f5a1740d4bb0fa2be27bab153 |
| institution | Directory Open Access Journal |
| issn | 1819-0901 |
| language | Russian |
| last_indexed | 2024-12-18T08:21:05Z |
| publishDate | 2018-08-01 |
| publisher | The Publishing House Medicine and Enlightenment |
| record_format | Article |
| series | Medicina v Kuzbasse |
| spelling | doaj.art-4e70458f5a1740d4bb0fa2be27bab1532022-12-21T21:14:44ZrusThe Publishing House Medicine and EnlightenmentMedicina v Kuzbasse1819-09012018-08-011731418225ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASEДенис Николаевич Макаров0Елена Михайловна Васильченко1ФГБУ ННПЦ МСЭ и РИ Минтруда России, г. НовокузнецкФГБУ ННПЦ МСЭ и РИ Минтруда России, г. НовокузнецкObjective – to investigate the structure of non-surgical complications after operation, define its effect on in-hospital mortality in lower limb amputations in patients with peripheral artery disease. Materials. A retrospective analysis of 656 case records of patients with peripheral artery disease that undergone lower limb amputation was performed. Identification of independent factors that influence mortality rate was performed using binary logit regression model. Results. The risk of in-hospital mortality increases 33,7-fold in case of development of acute kidney failure, in case of thromboembolia of the pulmonary artery it increases 17,6-fold, pulmonary edema – 14,3-fold increase, and myocardial infarction – 6,3-fold increase. Conclusions. Non-surgical complications after operation following lower limb amputation in patients with obliterative arterial disease developed in 24,8 % of cases. Despite psychiatric disorders developed more often than other complications, they did not influence the in-hospital mortality. Acute kidney failure, thromboembolia of the pulmonary artery, pulmonary edema and myocardial infarction that developed in the postoperative period are the independent predictors of in-hospital mortality in limb amputation in patients with peripheral artery disease.http://mednauki.ru/index.php/MK/article/view/260ишемия нижних конечностейлетальностьампутацияатеросклерозпослеоперационные осложнения |
| spellingShingle | Денис Николаевич Макаров Елена Михайловна Васильченко ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASE Medicina v Kuzbasse ишемия нижних конечностей летальность ампутация атеросклероз послеоперационные осложнения |
| title | ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASE |
| title_full | ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASE |
| title_fullStr | ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASE |
| title_full_unstemmed | ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASE |
| title_short | ASSOCIATION BETWEEN IT-HOSPITAL MORTALITY AND NON-SURGICAL COMPLICATIONS AFTER OPERATION IN LOWER LIMB AMPUTATION DUE TO PERIPHERAL ARTERY DISEASE |
| title_sort | association between it hospital mortality and non surgical complications after operation in lower limb amputation due to peripheral artery disease |
| topic | ишемия нижних конечностей летальность ампутация атеросклероз послеоперационные осложнения |
| url | http://mednauki.ru/index.php/MK/article/view/260 |
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