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Titolo:
Trends in provision of distal arterial reconstruction in Scotland 1989-1999
Autore:
Holdsworth, RJ; Paterson, HM;
Indirizzi:
Royal Infirm, Dept Surg, Stirling FK8 2AU, Scotland Royal Infirm Stirling Scotland FK8 2AU Surg, Stirling FK8 2AU, Scotland
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 2, volume: 21, anno: 2001,
pagine: 123 - 129
SICI:
1078-5884(200102)21:2<123:TIPODA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICAL LIMB ISCHEMIA; CRITICAL LEG ISCHEMIA; VASCULAR-SURGERY; AMPUTATION RATES; BYPASS; MANAGEMENT; DISEASE; NUMBER; VEIN;
Keywords:
distal arterial reconstruction; amputation; angioplasty; critical limb ischaemia; Scottish Morbidity Record-1;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Holdsworth, RJ Royal Infirm, Dept Surg, Stirling FK8 2AU, Scotland Royal Infirm Stirling Scotland FK8 2AU FK8 2AU, Scotland
Citazione:
R.J. Holdsworth e H.M. Paterson, "Trends in provision of distal arterial reconstruction in Scotland 1989-1999", EUR J VAS E, 21(2), 2001, pp. 123-129

Abstract

Objectives: to establish if access to distal arterial reconstructive surgery is equally distributed within the health boards of Scotland and to establish if any variations in practice are reflected in lower limb amputation. Methods: a retrospective, descriptive study using hospital discharge data (Scottish Morbidity Record-1) from 1989 to 1999. Results: the rate of distal arterial reconstruction in Scotland increased from 0.9 per 100 000 population in 1989, peaked at 2.6 per 100 000 in 1994 and has since declined steadily to 1.6 per 100 000 in 1999. There was lip to 17-fold variation in annual rates of distal reconstruction between the 12mainland health boards. The variations in distal reconstruction between the health boards were not reflected in variations in amputation rate nor is the decline in distal reconstruction easily explained by increased angioplasty. Conclusions: rates of distal arterial reconstruction in Scotland fall wellbelow those in other European countires. It is likely that insufficient distal operations are undertaken to sufficiently impact on amputation rates. The study recommends an increased provision of specialist vascular surgicalexpertise in Scotland.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 19:32:07