[Amputation risk scale in patients with acute limb ischemia].

Q4 Medicine

Khirurgiya Pub Date : 2025-01-01 DOI:10.17116/hirurgia202503169

N G Khorev, A A Chichvarov, S V Sapelkin, A V Beller

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引用次数: 0

Abstract

Objective: To create a scale for predicting amputation in patients with acute limb ischemia.

Material and methods: We retrospectively analyzed inpatient treatment data of 1.353 patients over a 22-year period. Patients were divided into two groups depending on limb salvage (n=1.212) and limb loss (n=141). Six factors influencing the risk of limb amputation were identified, and odds ratio for each factor was assessed.

Results: A scoring scale including 15 clinical and laboratory parameters was created. Prognostic ability of the scale was assessed using ROC analysis. AUC was 0.794 with 95% CI 0.755-0.833. The median score for group 1 (limb salvage) was 17 [14; 21], for group 2 (amputation) - 23 [19; 26] (p<0.0001). We stratified groups of low (up to 4.2%), medium (4.3-19.2%) and high (19.3-55.7%) risk of limb amputation in patients with acute limb ischemia.

Conclusion: A simple scale for assessing the probability of limb amputation in patients with acute ischemia was developed. Practical application of this tool is possible in surgical and specialized departments.

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[急性肢体缺血患者截肢风险量表]。

目的：建立预测急性肢体缺血患者截肢的量表。材料和方法：我们回顾性分析了1.353例住院患者22年的治疗资料。根据残肢保留情况（n=1.212）和肢体丧失情况（n=141）将患者分为两组。确定了影响截肢风险的6个因素，并评估了每个因素的优势比。结果：建立了包括15项临床及实验室参数的评分量表。采用ROC分析评估量表的预后能力。AUC为0.794,95% CI为0.755-0.833。组1（残肢保留）的中位评分为17 [14]；2组（截肢）- 23 [19]；[26] [p]结论：建立了一种评估急性缺血患者截肢概率的简易量表。该工具在外科和专科的实际应用是可能的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень