I70.20 I70.21 I70.22 I70.23 I70.24 I70.25
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All consecutive patients at a tertiary vascular surgery centre with symptomatic peripheral arterial disease who underwent surgical treatment (TEA, bypass, hybrid)
Exclusion criteria
Exclusion criteria: patients with symptomatic peripheral arterial disease (PAD) who received conservative or endovascular treatment - vascular surgery patients whose primary underlying condition is not PAD - non-vascular surgery patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - 30-day or in-hospital morbidity/mortality - Complication rate and spectrum (particularly wound infection; others, e.g. pneumonia, MALE, MACE) Specific examinations/parameters: 1. Patient ID: General information about the patient, such as gender, weight, height, age, admission type, case number, district, care level, ICD code and details of whether this was a recurrence or primary treatment. 2. Risk and pre-existing conditions: Relevant pre-existing conditions, history of substance use (alcohol and nicotine consumption), and premedication prior to inpatient admission. 3. Diagnostics: Preoperative imaging procedures and ABI value, as well as the pathological findings. 4. Clinical presentation: Classification according to the Fontaine stage and the ‘floor’ principle, as well as the walking distance in cases of claudication, measured on a treadmill. 5. Surgery: Basic data such as date, day of the week, time of day, duration of surgery, incision and suture times, ASA risk classification and OPS numbers were recorded. A distinction was made between purely surgical and hybrid procedures. For surgical procedures, a distinction was made between TEA and bypass procedures. For TEA procedures, it was recorded whether the procedure was performed as closed or semi-open, and with or without a patch/interposition. Additionally, the patch length was documented. For bypass procedures, the bypass material (autologous, allogeneic: PTFE or Dacron, xenogeneic) was specified. For hybrid procedures, it was recorded whether the procedures were performed with or without a stent and which level was affected. 6. Complications: Postoperative length of stay, need for transfusion, as well as general and surgery-specific complications such as wound healing disorders, restenosis and amputations. 7. Outcome: The postoperative ABI value on discharge, follow-up medication with TAHs and/or OAKs, the place of discharge, and any readmission wit | — |
Secondary
| Measure | Time frame |
|---|---|
| - Factors influencing morbidity and mortality - Comparison of TEA, bypass and hybrid procedures - Reintervention characteristics (rate, range) - Other factors: postoperative ABI values Length of stay pre- and post-intervention (General ward, Intensive Care Unit, Intermediate Care Unit) | — |
Countries
Germany
Contacts
Universitätsklinik für Allgemein-, Viszeral-, Gefäß- und Transplantationschirurgie