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Titolo:
Cardiac morbidity and operative mortality following lower-extremity amputation: The significance of multiple Eagle criteria
Autore:
de Virgilio, C; Toosie, K; Lewis, RJ; Stabile, BE; Baker, JD; White, R; Donayre, CE; Ephraim, L;
Indirizzi:
Univ Calif Los Angeles, Harbor Med Ctr, Dept Surg, Div Vasc Surg, Torrance, Univ Calif Los Angeles Torrance CA USA 90509 rg, Div Vasc Surg, Torrance, Univ509lif Los Angeles, Harbor Med Ctr, Dept Emergency Med, Torrance, CA 90 Univ Calif Los Angeles Torrance CA USA 90509 ergency Med, Torrance, CA 90 W Los Angeles Vet Affairs Med Ctr, Div Vasc Surg, Dept Surg, W Los Angeles, W Los Angeles Vet Affairs Med Ctr W Los Angeles CA USA g, W Los Angeles,
Titolo Testata:
ANNALS OF VASCULAR SURGERY
fascicolo: 2, volume: 13, anno: 1999,
pagine: 204 - 208
SICI:
0890-5096(199903)13:2<204:CMAOMF>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
KNEE AMPUTATIONS; ABOVE-KNEE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: de Virgilio, C Univ00alif Los Angeles, Harbor Med Ctr, Dept Surg, Div VascSurg, Box 25,10 Univ Calif Los Angeles Box 25,1000 W Carson St Torrance CAUSA 90509
Citazione:
C. de Virgilio et al., "Cardiac morbidity and operative mortality following lower-extremity amputation: The significance of multiple Eagle criteria", ANN VASC S, 13(2), 1999, pp. 204-208

Abstract

The ability of the Eagle criteria (age >70 years, angina, diabetes, Q waveon EKG, history of congestive heart failure) to predict adverse cardiac events following major vascular surgery has previously been demonstrated. However, the utility of these criteria for lower-extremity amputation is not well established. To determine the value of the Eagle criteria for predicting cardiac morbidity and operative mortality following major lower-extremityamputation, we reviewed 214 consecutive procedures performed at two institutions over a 3-year period. Mean age was 62.7 years and 85% of the patients were male. Diabetes was the most frequent Eagle criterion (74%), The meannumber of Eagle criteria was 1.6. Fifty-six percent of the amputations were below the knee, 24% were above the knee, and 20% were guillotine. On multivariate regression analysis, the presence of two or more Eagle criteria (16% vs. 4%, p = 0.04) and decompensated heart failure (39% vs. 7%, p = 0.003) were predictive of adverse cardiac events. The only predictor of postoperative mortality was the presence of two or more Eagle criteria (15% vs. 4%,p = 0.004). Our evaluation of the results of this study led us to concludethat patients requiring major lower-extremity amputation for major vascular disease who have multiple Eagle criteria or decompensated congestive heart failure are at high risk for adverse cardiac events and postoperative death. These findings should be used to guide perioperative cardiac evaluationand therapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/10/20 alle ore 00:17:45