Ischaemic gangrene of lower limb Circulatory System
Conditions
Interventions
Retrospective comparison of two approaches to the treatment of critically ill patients who admit to the hospital due to ischaemic gangrene of lower limb.
In 2011- 2014 (control group)
Sponsors
Sechenov University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Need to perform urgent (within 72 hours after admission to the hospital) high amputation of the lower extremities in patients with critical limb ischemia who were admitted in a severe or extremely severe condition. The indication for amputation was gangrene accompanied by a progressive infection of soft tissues or a syndrome of endogenous intoxication caused by ischemic damage to the muscle tissue of the limb.
Exclusion criteria
Exclusion criteria: 1. Patients with surgical soft tissue infection but without occlusion of the main arteries (including patients with extensive limb phlegmons with a neuropathic form of diabetic foot syndrome) 2. Patients with planned indications for amputation (including those operated within 72 hours after admission), e.g., patients with critical ischemia and gangrene of the limb if angiosurgical intervention is impossible or unsuccessful 3. Patients in whom the indications for urgent amputation of the limbs occurred during their stay in the hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lethality of procedure measured using patient records at a single time point | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured using patient records at a single time point: 1. Number of wound complications 2. Levels of amputation | — |
Countries
Russian Federation
Outcome results
None listed