Sökning: L773:1532 2165 OR L773:1078 5884
> (1995-1999) >
Amputation risk and...
Amputation risk and survival after embolectomy for acute arterial ischaemia : Time trends in a defined Swedish population
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- Ljungman, Christer (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Holmberg, Lars (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery
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- Bergqvist, David (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Bergstrom, Reinhold (författare)
- Uppsala universitet,Statistiska institutionen
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Adami, Hans-Olov (författare)
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(creator_code:org_t)
- 1996
- 1996
- Engelska.
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Ingår i: European Journal of Vascular and Endovascular Surgery. - 1078-5884 .- 1532-2165. ; 11:2, s. 176-182
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: To assess the outcome of embolectomy over an 19 year period. METHODS: Time trends in the outcome of acute arterial thrombo-embolectomy of the extremities were analysed in a population-based cohort of 1190 patients operated on between 1965-83. RESULTS: A total of 262 (22%) initial amputations were performed. The limb salvage rates at 5 years postoperatively were lower between 1975-79 (61%) than between 1965-69 (81%). A proportional hazards model revealed a relative hazard (RH) of amputation of 2.2 (95% confidence interval (CI) 1.3-3.3) for 1975-79 compared with 1965-69. Operation at any district hospital entailed a 70% higher risk of amputation (RH 1.7; 95% CI 1.3-2.5) compared with the University hospital. The relative survival rate at 5 years postoperatively decreased towards the end of the study period (33% between 1975-79 compared with 43% between 1965-69). Younger age-groups had a considerably lower risk of death in the University hospital compared with the county and district hospitals. CONCLUSIONS: Contrary to the results in other hospital based reports no improvement in amputation or survival rates since 1965 could be demonstrated in this large series with no patient selection.
Nyckelord
- Arterial occlusive disease
- Vascular surgery
- Acute arterial ischaemia
- Amputation risk
- Survival
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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