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Factors associated with delays in revascularization in patients with chronic limb-threatening ischaemia: population-based cohort study.
Birmpili, P; Johal, A; Li, Q; Waton, S; Chetter, I; Boyle, J R; Cromwell, D.
Affiliation
  • Birmpili P; Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
  • Johal A; Hull York Medical School, Hull, UK.
  • Li Q; Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
  • Waton S; Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
  • Chetter I; Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
  • Boyle JR; Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
  • Cromwell D; Hull York Medical School, Hull, UK.
Br J Surg ; 108(8): 951-959, 2021 08 19.
Article in En | MEDLINE | ID: mdl-33842943
Chronic limb-threatening ischaemia (CLTI) is a severe form of peripheral artery disease that reduces blood flow to the legs and can lead to amputation. Between 2016 and 2019, only 50.6 per cent of patients admitted to UK vascular units urgently with CLTI underwent revascularization within 5 days from admission. Several factors were associated with delays in time to revascularization, most notably the weekday of admission, which reflects how services are organized. The results support arguments for vascular units providing revascularization to have resources for a 7-day service.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Registries / Population Surveillance / Risk Assessment / Lower Extremity / Endovascular Procedures / Chronic Limb-Threatening Ischemia Type of study: Clinical_trials / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Br J Surg Year: 2021 Type: Article Affiliation country: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Registries / Population Surveillance / Risk Assessment / Lower Extremity / Endovascular Procedures / Chronic Limb-Threatening Ischemia Type of study: Clinical_trials / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Br J Surg Year: 2021 Type: Article Affiliation country: United kingdom