ASSESSMENT OF QUALITY-OF-LIFE OF PATIENTS WITH SEVERE ISCHEMIA AS A RESULT OF INFRAINGUINAL ARTERIAL OCCLUSIVE DISEASE

被引：113

作者：

ALBERS, M ^{[1
]}

FRATEZI, AC ^{[1
]}

DELUCCIA, N ^{[1
]}

机构：

[1] UNIV SAO PAULO,DEPT SURG,DIV VASC SURG,SAO PAULO,BRAZIL

来源：

JOURNAL OF VASCULAR SURGERY | 1992年 / 16卷 / 01期

关键词：

D O I：

10.1016/0741-5214(92)90417-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The purpose of this cohort study was to assess the quality of life of patients with severe ischemia as a result of infrainguinal arterial occlusive disease. Spitzer's QL-INDEX was selected to measure quality of life at baseline and at 3, 6, and 12 months. On the basis of initial treatment, 61 patients were grouped as follows: IC (conservative, n = 31), IR (arterial reconstruction, n = 14), and IA (major amputation, n = 16). After 12 months of follow-up, 48 patients were similarly regrouped according to ultimate treatment as follows: UC (n = 19), UR (n = 9), and UA (n = 20). At 12 months the mean score was significantly higher than the baseline in IC (6.43 vs 3.84, p < 0.0001) as well as IR (5.64 vs 3.57,p < 0.01), but not in IA (4.43 vs 3.62). The QL-INDEX mean score was lower in UA than in UC (4.15 vs 6.58, p < 0.01) or UR (4.15 vs 7.11, p < 0.0001). The correlation between QL-INDEX and an arbitrary scale was also high (r = 0.726, p < 0.001). In conclusion, quality of life of patients with limb ischemia can be confidently assessed, improves during the first year of follow-up if major amputation is avoided, and improves and is sustained by a functioning graft.

引用

页码：54 / 59

页数：6

共 13 条

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