Trends in Hospitalization, Management, and Clinical Outcomes Among Veterans With Critical Limb Ischemia.
Adult
Aged
Aged, 80 and over
Amputation, Surgical
/ trends
Critical Illness
Databases, Factual
Endovascular Procedures
/ trends
Female
Healthcare Disparities
/ trends
Hospitalization
/ trends
Hospitals, Veterans
/ trends
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors
/ therapeutic use
Incidence
Ischemia
/ diagnosis
Limb Salvage
/ trends
Male
Middle Aged
Outcome and Process Assessment, Health Care
/ trends
Peripheral Arterial Disease
/ diagnosis
Practice Patterns, Physicians'
/ trends
Risk Factors
Time Factors
Treatment Outcome
United States
/ epidemiology
United States Department of Veterans Affairs
Vascular Surgical Procedures
/ trends
Veterans Health
/ trends
amputation
hospitalization
incidence
peripheral arterial disease
prescriptions
Journal
Circulation. Cardiovascular interventions
ISSN: 1941-7632
Titre abrégé: Circ Cardiovasc Interv
Pays: United States
ID NLM: 101499602
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
entrez:
19
2
2020
pubmed:
19
2
2020
medline:
1
9
2020
Statut:
ppublish
Résumé
Contemporary patterns in management and outcomes of critical limb ischemia among United States veterans are unknown. We used Veterans Health Administration data to identify patients admitted for critical limb ischemia between 2005 and 2014. We examined temporal trends in incidence, management, and outcomes. A total of 20 938 veterans with critical limb ischemia were hospitalized between 2005 and 2014. Mean age was 67.8 years. Incidence decreased from 0.3 to 0.24 per 1000 persons from 2005 to 2013, Over the past decade, use of revascularization increased among veterans with critical limb ischemia, which was accompanied by a reduction in mortality and major amputation. However, opportunities to further improve care in this high-risk population still remain.
Sections du résumé
BACKGROUND
Contemporary patterns in management and outcomes of critical limb ischemia among United States veterans are unknown.
METHODS
We used Veterans Health Administration data to identify patients admitted for critical limb ischemia between 2005 and 2014. We examined temporal trends in incidence, management, and outcomes.
RESULTS
A total of 20 938 veterans with critical limb ischemia were hospitalized between 2005 and 2014. Mean age was 67.8 years. Incidence decreased from 0.3 to 0.24 per 1000 persons from 2005 to 2013,
CONCLUSIONS
Over the past decade, use of revascularization increased among veterans with critical limb ischemia, which was accompanied by a reduction in mortality and major amputation. However, opportunities to further improve care in this high-risk population still remain.
Identifiants
pubmed: 32069107
doi: 10.1161/CIRCINTERVENTIONS.119.008597
pmc: PMC8641646
mid: NIHMS1758467
doi:
Substances chimiques
Hydroxymethylglutaryl-CoA Reductase Inhibitors
0
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
e008597Subventions
Organisme : HSRD VA
ID : I21 HX002365
Pays : United States
Références
Circulation. 2017 Mar 21;135(12):e726-e779
pubmed: 27840333
J Am Coll Cardiol. 2016 Apr 26;67(16):1901-13
pubmed: 27012780
Circulation. 2015 Nov 10;132(19):1805-15
pubmed: 26350058
Circ Cardiovasc Qual Outcomes. 2012 Jan;5(1):94-102
pubmed: 22147886
Med Care. 1998 Jan;36(1):8-27
pubmed: 9431328
Tech Vasc Interv Radiol. 2014 Sep;17(3):221-4
pubmed: 25241324
J Vasc Surg. 2010 Jan;51(1):230-41
pubmed: 20117502
J Vasc Surg. 2014 Sep;60(3):686-95.e2
pubmed: 24820900
J Vasc Surg. 2017 Aug;66(2):476-487.e1
pubmed: 28408154
J Vasc Surg. 2018 Aug;68(2):527-535.e5
pubmed: 29588132
Med Care. 2005 Nov;43(11):1130-9
pubmed: 16224307
J Vasc Surg. 2013 Jun;57(6):1471-79, 1480.e1-3; discussion 1479-80
pubmed: 23375611
Am J Epidemiol. 2004 Apr 1;159(7):702-6
pubmed: 15033648