Sex-Related Differences and Factors Associated with Peri-Procedural and 1 Year Mortality in Chronic Limb-Threatening Ischemia Patients from the CLIMATE Italian Registry.

age chronic limb-threatening ischemia limb salvage outcome sex

Journal

Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269

Informations de publication

Date de publication:
11 Feb 2023
Historique:
received: 08 12 2022
revised: 08 02 2023
accepted: 09 02 2023
entrez: 25 2 2023
pubmed: 26 2 2023
medline: 26 2 2023
Statut: epublish

Résumé

Identifying sex-related differences/variables associated with 30 day/1 year mortality in patients with chronic limb-threatening ischemia (CLTI). Multicenter/retrospective/observational study. A database was sent to all the Italian vascular surgeries to collect all the patients operated on for CLTI in 2019. Acute lower-limb ischemia and neuropathic-diabetic foot are not included. One year. Data on demographics/comorbidities, treatments/outcomes, and 30 day/1 year mortality were investigated. Information on 2399 cases (69.8% men) from 36/143 (25.2%) centers. Median (IQR) age: 73 (66-80) and 79 (71-85) years for men/women, respectively ( Women exhibit fewer comorbidities but are struck by CLTI when over 75, a factor associated with short- and mid-term mortality, explaining why mortality does not statistically differ between the sexes.

Sections du résumé

BACKGROUND BACKGROUND
Identifying sex-related differences/variables associated with 30 day/1 year mortality in patients with chronic limb-threatening ischemia (CLTI).
METHODS METHODS
Multicenter/retrospective/observational study. A database was sent to all the Italian vascular surgeries to collect all the patients operated on for CLTI in 2019. Acute lower-limb ischemia and neuropathic-diabetic foot are not included.
FOLLOW-UP RESULTS
One year. Data on demographics/comorbidities, treatments/outcomes, and 30 day/1 year mortality were investigated.
RESULTS RESULTS
Information on 2399 cases (69.8% men) from 36/143 (25.2%) centers. Median (IQR) age: 73 (66-80) and 79 (71-85) years for men/women, respectively (
CONCLUSION CONCLUSIONS
Women exhibit fewer comorbidities but are struck by CLTI when over 75, a factor associated with short- and mid-term mortality, explaining why mortality does not statistically differ between the sexes.

Identifiants

pubmed: 36836550
pii: jpm13020316
doi: 10.3390/jpm13020316
pmc: PMC9959358
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Eugenio Martelli (E)

Department of General and Specialist Surgery Paride Stefanini, Faculty of Pharmacy and Medicine, Sapienza University of Rome, 155 viale del Policlinico, 00161 Rome, Italy.
Medicine and Surgery School of Medicine, Saint Camillus International University of Health Sciences, 8 via di Sant'Alessandro, 00131 Rome, Italy.
Division of Vascular Surgery, Department of Cardiovascular Sciences, S. Anna and S. Sebastiano Hospital, via F. Palasciano, 81100 Caserta, Italy.

Matilde Zamboni (M)

Division of Vascular Surgery, Saint Martin Hospital, 22 viale Europa, 32100 Belluno, Italy.

Giovanni Sotgiu (G)

Clinical Epidemiology and Medical Statistics Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, viale San Pietro, 07100 Sassari, Italy.

Laura Saderi (L)

Clinical Epidemiology and Medical Statistics Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, viale San Pietro, 07100 Sassari, Italy.

Massimo Federici (M)

Department of Systems Medicine, University of Rome Tor Vergata, 1 viale Montpellier, 00133 Rome, Italy.

Giuseppe M Sangiorgi (GM)

Department of Biomedicine and Prevention, University of Rome Tor Vergata, 1 viale Montpellier, 00133 Rome, Italy.

Mariangela V Puci (MV)

Clinical Epidemiology and Medical Statistics Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, viale San Pietro, 07100 Sassari, Italy.

Allegra R Martelli (AR)

Medicine and Surgery School of Medicine, Campus Bio-Medico University of Rome, 21 via À. del Portillo, 00128 Rome, Italy.

Teresa Messina (T)

Division of Anesthesia and Intensive Care of Organ Transplants, Umberto I Polyclinic University Hospital, 155 viale del Policlinico, 00161 Rome, Italy.

Paolo Frigatti (P)

Divisions of Vascular Surgery, S. Maria Misericordia University Hospital, 15 Piazzale Santa Maria della Misericordia, 33100 Udine, Italy.

Maria Pia Borrelli (MP)

Divisions of Vascular Surgery, S. Maria Misericordia University Hospital, 15 Piazzale Santa Maria della Misericordia, 33100 Udine, Italy.

Carlo Ruotolo (C)

Divisions of Vascular Surgery, Cardarelli Hospital, 9 Via A. Cardarelli, 80131 Naples, Italy.

Ilaria Ficarelli (I)

Divisions of Vascular Surgery, Cardarelli Hospital, 9 Via A. Cardarelli, 80131 Naples, Italy.

Paolo Rubino (P)

Divisions of Vascular Surgery, Pugliese Ciaccio Hospital, 83 viale Pio X, 88100 Catanzaro, Italy.

Francesco Pezzo (F)

Divisions of Vascular Surgery, Pugliese Ciaccio Hospital, 83 viale Pio X, 88100 Catanzaro, Italy.

Luciano Carbonari (L)

Divisions of Vascular Surgery, Riuniti University Hospitals, 71 via Conca, Torrette (AN), 60126 Ancona, Italy.

Andrea Angelini (A)

Divisions of Vascular Surgery, Riuniti University Hospitals, 71 via Conca, Torrette (AN), 60126 Ancona, Italy.

Edoardo Galeazzi (E)

Divisions of Vascular Surgery, Treviso Hospital, 1 piazzale del'Ospedale, 31100 Treviso, Italy.

Luca Calia Di Pinto (LC)

Divisions of Vascular Surgery, Treviso Hospital, 1 piazzale del'Ospedale, 31100 Treviso, Italy.

Franco M Fiore (FM)

Divisions of Vascular Surgery, SS. Annunziata Hospital, 31 via dei Vestini, 66100 Chieti, Italy.

Armando Palmieri (A)

Divisions of Vascular Surgery, SS. Annunziata Hospital, 31 via dei Vestini, 66100 Chieti, Italy.

Giorgio Ventoruzzo (G)

Divisions of Vascular Surgery, San Donato Hospital, 20 via Pietro Nenni, 52100 Arezzo, Italy.

Giulia Mazzitelli (G)

Divisions of Vascular Surgery, San Donato Hospital, 20 via Pietro Nenni, 52100 Arezzo, Italy.

Franco Ragni (F)

Divisions of Vascular Surgery, San Matteo Polyclinic, 19 viale Camillo Golgi, 27100 Pavia, Italy.

Antonio Bozzani (A)

Divisions of Vascular Surgery, San Matteo Polyclinic, 19 viale Camillo Golgi, 27100 Pavia, Italy.

Enzo Forliti (E)

Divisions of Vascular Surgery, Infermi Hospital, Via dei Ponderanesi 2, 13875 Ponderano, Italy.

Claudio Castagno (C)

Divisions of Vascular Surgery, Infermi Hospital, Via dei Ponderanesi 2, 13875 Ponderano, Italy.

Pietro Volpe (P)

Divisions of Vascular Surgery, Bianchi-Melacrino-Morelli Hospital, 21 via G. Melacrino, 89124 Reggio di Calabria, Italy.

Mafalda Massara (M)

Divisions of Vascular Surgery, Bianchi-Melacrino-Morelli Hospital, 21 via G. Melacrino, 89124 Reggio di Calabria, Italy.

Diego Moniaci (D)

Divisions of Vascular Surgery, San Giovanni Bosco Hospital, 3 piazza del Donatore di Sangue, 10154 Turin, Italy.

Elisa Pagliasso (E)

Divisions of Vascular Surgery, San Giovanni Bosco Hospital, 3 piazza del Donatore di Sangue, 10154 Turin, Italy.

Tania Peretti (T)

Divisions of Vascular Surgery, San Giovanni Bosco Hospital, 3 piazza del Donatore di Sangue, 10154 Turin, Italy.

Mauro Ferrari (M)

Divisions of Vascular Surgery, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 2 via Paradisa, 56124 Pisa, Italy.

Nicola Troisi (N)

Divisions of Vascular Surgery, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 2 via Paradisa, 56124 Pisa, Italy.

Piero Modugno (P)

Divisions of Vascular Surgery, Gemelli Molise Hospital, 1 largo A. Gemelli, 86100 Campobasso, Italy.

Maurizio Maiorano (M)

Divisions of Vascular Surgery, Gemelli Molise Hospital, 1 largo A. Gemelli, 86100 Campobasso, Italy.

Umberto M Bracale (UM)

Divisions of Vascular Surgery, Federico II Polyclinic, Department of Public Health and Residency Program in Vascular Surgery, University of Naples Federico II, 5 via S. Pansini, 80131 Naples, Italy.

Marco Panagrosso (M)

Divisions of Vascular Surgery, Federico II Polyclinic, Department of Public Health and Residency Program in Vascular Surgery, University of Naples Federico II, 5 via S. Pansini, 80131 Naples, Italy.

Mario Monaco (M)

Divisions of Vascular Surgery, Pineta Grande Hospital, Km. 30 via Domitiana, 81030 Castelvolturno, Italy.
Divisions of Vascular Surgery, Sanatrix Clinic, 31 via S. Domenico, 80127 Naples, Italy.

Giovanni Giordano (G)

Divisions of Vascular Surgery, Sanatrix Clinic, 31 via S. Domenico, 80127 Naples, Italy.

Giuseppe Natalicchio (G)

Divisions of Vascular Surgery, Venere Hospital, 1 via Ospedale di Venere, 70131 Bari, Italy.

Antonella Biello (A)

Divisions of Vascular Surgery, Venere Hospital, 1 via Ospedale di Venere, 70131 Bari, Italy.

Giovanni M Celoria (GM)

Divisions of Vascular Surgery, Sant'Andrea Hospital, 197 via Vittorio Veneto, 19121 La Spezia, Italy.

Alessio Amico (A)

Divisions of Vascular Surgery, Sant'Andrea Hospital, 197 via Vittorio Veneto, 19121 La Spezia, Italy.

Mauro Di Bartolo (M)

Divisions of Vascular Surgery, Sant'Andrea Hospital, 197 via Vittorio Veneto, 19121 La Spezia, Italy.

Massimiliano Martelli (M)

Divisions of Vascular Surgery, MultiMedica Hospital, 300 via Milenese, 20099 Sesto San Giovanni, Italy.

Roberta Munaó (R)

Divisions of Vascular Surgery, MultiMedica Hospital, 300 via Milenese, 20099 Sesto San Giovanni, Italy.

Davide Razzano (D)

Divisions of Vascular Surgery, San Pio Hospital, 1 via dell'angelo, 82100 Benevento, Italy.

Giovanni Colacchio (G)

Divisions of Vascular Surgery, F.Miulli Hospital, Strada Prov. 127 Acquaviva-Santeramo Km. 4, 70021 Acquaviva delle Fonti, Italy.

Francesco Bussetti (F)

Divisions of Vascular Surgery, F.Miulli Hospital, Strada Prov. 127 Acquaviva-Santeramo Km. 4, 70021 Acquaviva delle Fonti, Italy.

Gaetano Lanza (G)

Divisions of Vascular Surgery, Multimedica Hospital, 70 viale Piemonte, 21053 Castellanza, Italy.

Antonio Cardini (A)

Divisions of Vascular Surgery, Multimedica Hospital, 70 viale Piemonte, 21053 Castellanza, Italy.

Bartolomeo Di Benedetto (B)

Divisions of Vascular Surgery, Monaldi Hospital, via L. Bianchi, 84100 Naples, Italy.

Mario De Laurentis (M)

Divisions of Vascular Surgery, Monaldi Hospital, via L. Bianchi, 84100 Naples, Italy.

Maurizio Taurino (M)

Divisions of Vascular Surgery, Department of Molecular and Clinical Medicine, Sapienza University of Rome, Giorgio Nicola Papanicolau, 00189 Rome, Italy.
Divisions of Vascular Surgery, Sant'Andrea University Hospital, 1035/1039 via di Grottarossa, 00189 Rome, Italy.

Pasqualino Sirignano (P)

Department of General and Specialist Surgery Paride Stefanini, Faculty of Pharmacy and Medicine, Sapienza University of Rome, 155 viale del Policlinico, 00161 Rome, Italy.
Divisions of Vascular Surgery, Sant'Andrea University Hospital, 1035/1039 via di Grottarossa, 00189 Rome, Italy.

Pierluigi Cappiello (P)

Divisions of Vascular Surgery, San Carlo Hospital, via Potito Petrone, 85100 Potenza, Italy.

Andrea Esposito (A)

Divisions of Vascular Surgery, San Carlo Hospital, via Potito Petrone, 85100 Potenza, Italy.

Santi Trimarchi (S)

Divisions of Vascular Surgery, Department of Clinical and Community Sciences, University of Milan, 19 via della Commenda, 20122 Milan, Italy.
Divisions of Vascular Surgery, Maggiore Polyclinic Hospital Ca' Granda IRCCS and Foundation, 35 via Francesco Sforza, 20122 Milan, Italy.

Silvia Romagnoli (S)

Divisions of Vascular Surgery, Maggiore Polyclinic Hospital Ca' Granda IRCCS and Foundation, 35 via Francesco Sforza, 20122 Milan, Italy.

Andrea Padricelli (A)

Division of Vascular Surgery, Department of Cardiovascular Sciences, S. Anna and S. Sebastiano Hospital, via F. Palasciano, 81100 Caserta, Italy.

Giorgio Giudice (G)

Division of Vascular Surgery, Department of Cardiovascular Sciences, S. Anna and S. Sebastiano Hospital, via F. Palasciano, 81100 Caserta, Italy.

Adolfo Crinisio (A)

Divisions of Vascular Surgery, Salus Clinic, 4 via F. Confalonieri, 84091 Battipaglia, Italy.

Giovanni Di Nardo (G)

Divisions of Vascular Surgery, Salus Clinic, 4 via F. Confalonieri, 84091 Battipaglia, Italy.

Giuseppe Battaglia (G)

Divisions of Vascular Surgery, San Marco Hospital, viale Carlo Azeglio Ciampi, 95121 Catania, Italy.

Rosario Tringale (R)

Divisions of Vascular Surgery, San Marco Hospital, viale Carlo Azeglio Ciampi, 95121 Catania, Italy.

Salvatore De Vivo (S)

Divisions of Vascular Surgery, Pellegrini Hospital, 41 via Portamedina alla Pignasecca, 80134 Naples, Italy.

Rita Compagna (R)

Divisions of Vascular Surgery, Pellegrini Hospital, 41 via Portamedina alla Pignasecca, 80134 Naples, Italy.

Valerio S Tolva (VS)

Divisions of Vascular Surgery, Niguarda Hospital, Piazza dell'Ospedale Maggiore 3, 20161 Milan, Italy.

Ilenia D'Alessio (I)

Divisions of Vascular Surgery, Niguarda Hospital, Piazza dell'Ospedale Maggiore 3, 20161 Milan, Italy.

Ruggiero Curci (R)

Divisions of Vascular Surgery, Maggiore Hospital, 10 Piazza Ospitale, 26900 Lodi, Italy.

Simona Giovannetti (S)

Divisions of Vascular Surgery, Maggiore Hospital, 10 Piazza Ospitale, 26900 Lodi, Italy.

Giuseppe D'Arrigo (G)

Divisions of Vascular Surgery, Garibaldi-Nesima Hospital, 636 via Palermo, 95122 Catania, Italy.

Giusi Basile (G)

Divisions of Vascular Surgery, Garibaldi-Nesima Hospital, 636 via Palermo, 95122 Catania, Italy.

Dalmazio Frigerio (D)

Divisions of Vascular Surgery, Vimercate Hospital, 10 via Cosma e Damiano, 20871 Vimercate, Italy.

Gian Franco Veraldi (GF)

Divisions of Vascular Surgery, University Hospital Pietro Confortini, 1 Piazzale Aristide Stefani, 37126 Verona, Italy.

Luca Mezzetto (L)

Divisions of Vascular Surgery, University Hospital Pietro Confortini, 1 Piazzale Aristide Stefani, 37126 Verona, Italy.

Arnaldo Ippoliti (A)

Department of Biomedicine and Prevention, University of Rome Tor Vergata, 1 viale Montpellier, 00133 Rome, Italy.

Fabio M Oddi (FM)

Department of Biomedicine and Prevention, University of Rome Tor Vergata, 1 viale Montpellier, 00133 Rome, Italy.

Alberto M Settembrini (AM)

Divisions of Vascular Surgery, Maggiore Polyclinic Hospital Ca' Granda IRCCS and Foundation, 35 via Francesco Sforza, 20122 Milan, Italy.

Classifications MeSH