![]() ![]() ![]() By 6 months after diagnosis, 3.3% had undergone major amputation. Within 30 days of a CLTI diagnosis, about 20% of patients underwent endovascular or surgical revascularization, which was more prevalent in those with Rutherford classes 5 and 6. Slightly less than half of all patients had more than one imaging test. Half had diabetes, 80% had hypertension, and one-quarter had kidney disease.Īpproximately 70% of patients had ankle-brachial index testing within the 6 months before or after entry into the study, 54% had duplex ultrasonography, and 33% underwent angiography. CLIPPER was derived from the baseline characteristics and long-term outcomes of 1.13 million Medicare patients (mean age 75 years 48.4% women, 14.6% Black) managed in inpatient and outpatient settings. “Unlike other common and morbid cardiovascular diseases like heart attack, stroke, heart failure, there are no quality metrics to measure process of care in CLTI,” said Alexander Fanaroff, MD (Perelman School of Medicine at the University of Pennsylvania, Philadelphia), during his presentation. ![]() To do so, they created the CLIPPER cohort. Researchers are hoping to pinpoint why so many CLTI patients seem to receive minimal vascular care and what’s driving the epidemic of unnecessary amputations. PHOENIX, AZ-Troubling disparities in care and outcomes for the most vulnerable patients with chronic limb threatening ischemia (CLTI) signal the need for quality measures to keep hospitals in check, according to results of a large Medicare analysis presented here at the Society for Cardiovascular Angiography and Interventions (SCAI) 2023 Scientific Sessions. ![]()
0 Comments
Leave a Reply. |