critical limb ischemia gangrene
Conditions
Interventions
The treatment of patients in the intervention group consists of several facets:
identification of all cardiovascular risk factors and analysis of adequacy of
the chosen therapy. If necessary, refer
Sponsors
Catharina-ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients with Rutherford stage 4 and 5 peripheral arterial disease where an open or endovascular intervention is possible to improve the arterial peripheral perfusion.
Exclusion criteria
Exclusion criteria: Servere NYHA 4 comorbidity Below the knee or above the knee amputation contralateral leg No physiotherapy coverd in insurance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoints: pain free and maximum walking distance, quality of life, illness and pain perception measured with the RAND SF-36, WIQ, and MPQ-DLV. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures: control of cardiovascular risk factors: hypertension, diabetes mellitus, hypercholesterolemia. Lifestyle factors: smoking status, body mass index and waist-hip ratio. Prevalence of confusion and dementia measured by MMSE and DOS. Functioning on ADL level measured by the Katz Index. Also registration of mortality and morbidity, vascular re-interventions, cardiovascular events and hospitalizations and treatments performed by other specialties. All endpoints measured at baseline, 1, 3, 6, 9 and 12 months. | — |
Countries
Netherlands
Outcome results
None listed