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Return to well-being and function after infrainguinal revascularization.

Abstract：

PURPOSE:The purpose of this study was to assess functional status, well-being, and symptom relief of patients after infrainguinal revascularization for severe peripheral vascular disease. METHODS:Two questionnaires were used to assess symptoms, functional status, and well-being before operation and 6 months after operation. Sociodemographics, comorbidities, indications for surgery, graft location, and morbidity, mortality, patency, and limb salvage rates were obtained via vascular registry. RESULTS:Of 318 patients who underwent revascularization over a 1-year period, 276 patients were asked to complete the questionnaires. Of the 156 patients who completed both questionnaires, mean age was 66 years, 67% were men, 84% had diabetes mellitus, and 83% had various heart-related conditions. Mean length of stay was 15.3 days. Distal graft sites were popliteal (29%), tibial/peroneal (40%), and pedal/plantar (31%). The operative morbidity rate was 21%, the cumulative primary graft patency rate was 93%, the cumulative secondary graft patency rate was 95%, and the limb salvage rate was 97% at 6 months. At follow-up, improved functioning of instrumental activities of daily living, mental well-being, and vitality were reported. Symptoms of calf cramping and toe or foot pain when walking and at rest were also improved. Sores or ulcers improved, but leg swelling did not. The only independent predictor of improved function and well-being was the patients' perception of their status at baseline: those patients who functioned better before operation reported improved function and well-being at 6 months. Only 45% of patients reported feeling "back to normal" at 6 months. CONCLUSION:Reported health status at baseline was a predictor of improved function, mental well-being, and resolution of symptoms after infrainguinal revascularization. Expected return to "normal" may take longer than 6 months.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Gibbons GW,Burgess AM,Guadagnoli E,Pomposelli FB Jr,Freeman DV,Campbell DR,Miller A,Marcaccio EJ Jr,Nordberg P,LoGerfo FW

doi

10.1016/s0741-5214(95)70242-3

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

35-44; discussion 44-5

issue

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(95)70242-3

journal_volume

pub_type

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Return to well-being and function after infrainguinal revascularization.