0 315

Cited 12 times in

Risk factors associated with amputation-free survival for patients with peripheral arterial disease: a systematic review

Authors
 Changhwan Kim  ;  Yong Sook Yang  ;  Gi Wook Ryu  ;  Mona Choi 
Citation
 EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, Vol.20(4) : 295-304, 2021-05 
Journal Title
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
ISSN
 1474-5151 
Issue Date
2021-05
Keywords
Aftercare ; Amputation-free survival ; Intermittent claudication ; Peripheral arterial disease ; Risk factors ; Systematic review
Abstract
Aims: Peripheral arterial disease (PAD) is associated with morbidity and mortality, comprising a significant percentage of amputations. As it affects the quality of life of patients with PAD, it is an important health issue. Therefore, the risk factors affecting the outcomes of limb salvage after revascularization should be well investigated. The aim of this review is to summarize risk factors of amputation-free survival (AFS) after interventions targeting patients with PAD to develop evidence-based intervention for improving patient outcomes.

Methods and results: A systematic review following PRISMA guidelines was conducted, and the protocol was registered on PROSPERO (CRD42020183076). PubMed, CINAHL, EMBASE, Cochrane Library, and Web of Science were searched for observational studies published between 2008 and 2019. Search terms included 'peripheral arterial disease', 'risk factors', and 'amputation-free survival'. The quality of the studies was evaluated using the Joanna Briggs Institute's Critical Appraisal Tools. Seventeen cohort studies were included in our study, and 16 risk factors were identified. Risk factors exemplifying a significant influence on decreased AFS were divided into three categories: sociodemographic (e.g. older age, male gender, African-American race, low body mass index, high nutritional risk, frailty), disease-related characteristics (e.g. severity of the disease, intervention site), and comorbidities (e.g. cardiovascular disease, kidney disease, diabetes mellitus, chronic obstructive pulmonary disease, dementia, wide pulse pressure).

Conclusion: We found that managing modifiable risk factors, as well as addressing high-risk populations, has the potential to improve outcomes of PAD interventions. More high-quality cohort studies are needed to confirm these findings.
Full Text
https://academic.oup.com/eurjcn/article/20/4/295/6204788
DOI
10.1093/eurjcn/zvaa022
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Choi, Mona(최모나) ORCID logo https://orcid.org/0000-0003-4694-0359
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184785
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links