A 10-year experience of managing acute limb ischaemia in India.

dc.contributor.authorTurel, Mazda
dc.contributor.authorKumar, Prabhu Prem
dc.contributor.authorStephen, Edwin
dc.contributor.authorAgarwal, Sunil
dc.date.accessioned2012-06-14T10:02:07Z
dc.date.available2012-06-14T10:02:07Z
dc.date.issued2008-11
dc.description.abstractBackground. Acute limb ischaemia is threatening to both limb and life. There is little information about this disease entity from India. Methods. We did a retrospective analysis of the clinical profile of patients presenting with non-traumatic acute limb ischaemia to our department (a tertiary care centre in India) from January 1998 to December 2007. The demography, risk factors, time taken to present to the emergency from the onset of symptoms, time taken to administer the first dose of heparin upon arrival to the emergency, primary interventions and outcomes in terms of amputation rates and in-hospital mortality were studied. Results. The mean (SD) age of the 84 patients was 48.9 (14.3) years. Only one patient died (1.2%) and 24 patients had an amputation (28.6%). Among the predisposing risk factors a significant association was found between smoking and the rate of amputation. Early presentation to emergency and early administration of heparin was associated with lower amputation rates though this did not achieve statistical significance. Conclusion. Acute limb ischaemia is a catastrophic event. Smoking is a risk factor associated with poorer outcomes. Early arrival to the emergency and early administration of heparin was associated with lower amputation rates.en_US
dc.identifier.citationTurel Mazda, Kumar Prabhu Prem, Stephen Edwin, Agarwal Sunil. A 10-year experience of managing acute limb ischaemia in India. National Medical Journal of India. 2008 Nov-Dec; 21(6): 284-287.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/139020
dc.language.isoenen_US
dc.source.urihttps://www.nmji.in/archives/Volume_21/Issue-6/PDF-volume-21-issue-6/Volume-21-issue-6-Short-Report.pdfen_US
dc.subject.meshAcute Disease
dc.subject.meshAmputation
dc.subject.meshAnticoagulants --therapeutic use
dc.subject.meshAnticoagulant --therapeutic use
dc.subject.meshHeparin --therapeutic use
dc.subject.meshHumans
dc.subject.meshIschemia --surgery
dc.subject.meshLeg --blood supply
dc.subject.meshLeg --surgery
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPeripheral Vascular Diseases --surgery
dc.subject.meshRisk Factors
dc.subject.meshTime Factors
dc.titleA 10-year experience of managing acute limb ischaemia in India.en_US
dc.typeArticleen_US
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