peripheral arterial disease, chronic limb-threatening ischemia severe vascular disease of the legs
Conditions
Interventions
All patients undergo a general health screening by a vascular nurse practitioner (VNP) or researcher at the Multidisciplinary Vascular surgical outpatient clinic for the Elderly (MVE). Afterwards pati
Sponsors
Amphia Ziekenhuis
Eligibility
Age
65 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients aged 65 years or olderDiagnosis of Chronic Limb Threatening Ischemia (CLTI), based on:Anamnestic complaints of ischemic rest pain or night pain (Rutherford stage 4) OR (Minor) tissue loss, non-healing ulcer and/or focal gangrene with diffuse pedal ischemia (Rutherford stage 5 and 6) (8)ANDImpaired perfusion, quantified by a flat or barely pulsatile ankle or metatarsal PVR (pulse volume recording), a low resting ankle pressure, a low ankle brachial index and/or a low toe pressure.Informal caregiver of an elderly patient (= 65 years) with CLTI
Exclusion criteria
Exclusion criteria: Need for urgent surgery or endovascular therapy (<2 weeks), based on either:WIfI-score of W = 3WIfI-score of fI = 3Inability to complete questionnaires, due to either lingual or cognitive incompetence.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the LOS. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will be QoL of the patient and their IC, 6-month mortality, hospital readmission rate, postoperative complications, level of perceived SDM and preferred participation in SDM of the patient and their IC, perceived and preferred roles in decision making (DM) of the patient and their IC and cost-effectiveness. | — |
Countries
Netherlands
Contacts
Public ContactS Verbaan
Amphia Ziekenhuis
Outcome results
None listed