A scoring system to predict the outcome of long femorodistal arterial bypass grafts to single calf or pedal vessels.
A scoring system to predict the outcome of long femorodistal arterial bypass grafts to single calf or pedal vessels.
复制标题
一种评分系统，用于预测长股远动脉旁路移植到单个小腿或踏板血管的结果。
DOI：
10.1016/s1078-5884(98)80197-4
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
P. Taylor
中科院分区：
文献类型：
--
作者：
Y. Panayiotopoulos;R. Edmondson;J. Reidy;P. Taylor
CATETIVESThe的目的，这项研究是开发一个评分系统，以预测长期的femorocrural和femoropedal旁路移植术的严重肢体ischaemia.SETTINGTeaching hospital. METHODS分析109连续femorodional旁路移植术的严重下肢缺血在1991年6月至1994年12月。影响结局的因素包括：流入量、通畅的小腿血管数量、移植物材料、直通足部和通畅的足部血管。根据这些变量的相对显著性（多变量考克斯回归）对这些变量进行加权，并开发了评分系统（范围从0到10）。术前评分为0-4的患者（n = 35）显示，1个月时的二期通畅率为36%，3个月时为12%，10个月时为0%（Cum SE = 6.90/0.0）。评分为5-7的46例患者的3个月、12年、2年和3年的二期通畅率分别为88.7%、56.3%、45.1%（累积SE = 9.82），而评分为8-10的28例患者的相应值分别为92.7%、88.5%和81.7%（累积SE = 8.08）。在所有相等性检验中，差异都非常显著（p = 0.000）。此外，中位总住院费用为12 600英镑的组0-4相比，£8100（组5-7）和£4400（组8-10）（p = 0.0085）。如果应用于患者选择，它可以显着降低每条腿节省的总医院成本。需要对其预测能力进行前瞻性测试，目前正在进行中。
OBJECTIVESThe aim of this study was to develop a scoring system to predict the outcome of long femorocrural and femoropedal bypass grafts performed for critical limb ischaemia.SETTINGTeaching hospital.METHODSAn analysis of 109 consecutive femorodistal bypass grafts performed for critical lower limb ischaemia between June 1991 to December 1994. Factors shown to affect the outcome were: inflow, number of patent calf vessels, graft material, straight flow to the foot and patent pedal vessels. These variables were weighted according to their relative significance (multivariate Cox regression) and a scoring system (ranging from 0 to 10) was developed.RESULTSPatients with a preoperative score of 0–4 (n = 35) showed a secondary patency of 36% at 1 month, 12% at 3 months and 0% at 10 months (Cum SE = 6.90/0.0). Secondary patency rates for the 46 patients with score 5–7 were 88.7% at 3 months, 56.3% at 12, and 45.1% at 2 and 3 years (Cum SE = 9.82), while the respective values for the 28 patients with score 8–10 were 92.7%, 88.5% and 81.7% (Cum SE = 8.08). The difference was highly significant (p = 0.000) in all tests of equality. In addition, the median total hospital cost was £12 600 for the group 0–4 compared with £8100 (group 5–7) and £4400 (group 8–10) (p = 0.0085).CONCLUSIONSThis preoperative scoring system appears to correlate well with the outcome of distal revascularisation to single calf or pedal vessels. If applied to patient selection, it could significantly reduce the total hospital cost per leg saved. A prospective testing of its predictive ability is needed and is in progress.
一种根据术前血管造影预测外周血管阻力的新方法。
影响因子：
4.3
作者：
LaMorte,WW;Menzoian,JO;Sidawy,A;Heeren,T
通讯作者：
Heeren,T