Barthel Index and Outcome of Open Bypass for Critical Limb Ischemia

Mii, Shinsuke; Guntani, Atsushi; Kawakubo, Eisuke; Shimazoe, Hirofumi

doi:10.1253/circj.cj-17-0247

Cited by 19 publications

(11 citation statements)

References 22 publications

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“…47 BI has an important impact on the prognosis and mortality of patients, which has been verified in postoperative patients and patients with acute heart failure. 11,13 A Danish cohort study based on the geriatric database explored the relationship between BI and mortality in elderly patients. The results showed that BI was negatively correlated with the mortality of patients, and the higher the BI score, the lower the mortality of patients.…”

Section: Discussionmentioning

confidence: 99%

“…20 In our study, the BI cut-off value of patients divided into two groups was 60, which was consistent with previous studies. [11][12][13][14]21 Statistical Analysis R 3.3.2 statistical software was used to perform all analyses. For measurement data, the normality of data was tested using the Shapiro test.…”

Section: Data Collection and Outcomesmentioning

confidence: 99%

“…In studies of patients with stroke, acute heart failure and peripheral artery disease, it was found that low BI score was associated with poor prognosis. [11][12][13][14] The ADL assessment method is simple, which is conducive to early detection of impaired functional activities, with a view to early intervention to avoid further serious situations such as falls and disability. At present, studies on patients' abilities of daily living are mainly focused on patients with surgical surgery and cerebrovascular diseases.…”

Section: Introductionmentioning

confidence: 99%

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<p>Main Risk Factors Related to Activities of Daily Living in Non-Dialysis Patients with Chronic Kidney Disease Stage 3–5: A Case–Control Study</p>

Chang¹,

Hou²,

Wang³

et al. 2020

CIA

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Introduction: Elderly people are at increased risk of falls, disability and death due to reduced functional reserve, decline in multiple systems functions, which affects their activities of daily living (ADL) and eventually develop into frailty. The ADL assessment is conducive to early detection to avoid further serious situations. Previous studies on patients' activities of daily living with chronic kidney disease (CKD) are mainly focused on dialysis patients. Little information is available on non-dialysis patients. Patients and Methods: A total of 303 elderly patients with CKD stage 3-5 who were admitted to our hospital were selected. ADL evaluation was performed on patients at admission, with Barthel index (BI) as the evaluation tool. They were divided into two groups based on BI (≥60 and <60). Demographic information, lifestyle and clinical profile were collected. The risk factors related to ADL were analyzed by univariate and multivariate models. Results: The data of 303 patients enrolled in this study were analyzed. The average age of patients was 84.48± 7.14 years and 62.05% were male. There were 88 patients (29.04%) in BI <60 group and 215 patients (70.96%) in the BI ≥60 group. The average age of subjects in the two groups was 87.47 ± 5.85 years and 83.26± 7.28 years, respectively. On univariate analysis, ADL impairment was associated with many factors, such as age, body mass index, blood lipid, heart rate, smoking history, Charlson comorbidity index (CCI), hemoglobin, serum albumin, BNP, eGFR, etc. Multivariate logistic regression showed that age (OR 1.08, 95% CI 1.00-1.17, P=0.0390), Charlson comorbidity index (OR 4.75, 95% CI 1.17-19.30, P=0.0295), and serum albumin (OR 0.80, 95% CI 0.70-0.92, P=0.0012) were the independent risk factors of ADL impairment. Conclusion: Decline of ADL in CKD patients was independently correlated with age, Charlson comorbidity index and serum albumin. ADL and its influential factors in the elderly CKD patients deserve further attention.

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Section: Discussionmentioning

confidence: 99%

Section: Data Collection and Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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<p>Main Risk Factors Related to Activities of Daily Living in Non-Dialysis Patients with Chronic Kidney Disease Stage 3–5: A Case–Control Study</p>

Chang¹,

Hou²,

Wang³

et al. 2020

CIA

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“…10,11 Numerous studies have showed that hospitalizations for acute diseases are related to a decline in BI scores and that functional disability is associated with poor outcomes in patients with stroke, acute coronary syndrome, and peripheral artery disease. [12][13][14] with the patient or family approximately 2 weeks before admission, as in a previous study. 15 Post-BI was defined as BI measured at discharge.…”

mentioning

confidence: 99%

Prognostic Impact of the Preservation of Activities of Daily Living on Post-Discharge Outcomes in Patients With Acute Heart Failure

Uemura

Shibata

Takemoto

et al. 2018

Circ J

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“…These variables are reportedly independent predictors for ischemic wound healing or life-threatening outcomes in patients who undergo open bypass for critical limb ischemia. 21,22) Therefore, these factors might be helpful in deciding on MFC.…”

Section: Discussionmentioning

confidence: 99%

Salvage of Infected Prosthetic Grafts at the Groin or Thigh Using Muscle Flap Coverage

Tanaka

Mii

Ishida

et al. 2020

Annals of Vascular Diseases

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Objectives: This study aimed to evaluate early-and longterm outcomes in patients who undergo muscle flap coverage (MFC) for prosthetic graft infections (PGIs) at the groin or thigh. Materials and Methods: We retrospectively retrieved and analyzed data on infected wound cures, recurrence, graft and limb salvage, and survival of patients who underwent MFC for PGI at the groin or thigh between 2000 and 2018. Results: There were eight patients in our cohort: six had groin PGIs and two had thigh PGIs. Moreover, of these patients, seven were treated from sartorius muscles and one from a gracilis muscle. The indicated wounds healed in all eight patients, but two patients died during hospitalization. Three patients suffered recurrence within 8 months, one of which overcame the infection and achieved wound cure without graft removal, with negative pressure wound therapy. No patients lost their limbs during the follow-up term (mean, 24 months; range, 1-60 months). Finally, four patients (50%) survived without removal of the infected graft for longer than 2 years. Conclusion: MFC can be a curative treatment for PGI, but there remains a possibility of a recurring infection thereafter.

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Barthel Index and Outcome of Open Bypass for Critical Limb Ischemia

Abstract: It is not BI at admission, but BI at discharge that determines long-term outcome.

Cited by 19 publications

References 22 publications

<p>Main Risk Factors Related to Activities of Daily Living in Non-Dialysis Patients with Chronic Kidney Disease Stage 3–5: A Case–Control Study</p>

<p>Main Risk Factors Related to Activities of Daily Living in Non-Dialysis Patients with Chronic Kidney Disease Stage 3–5: A Case–Control Study</p>

Prognostic Impact of the Preservation of Activities of Daily Living on Post-Discharge Outcomes in Patients With Acute Heart Failure

Salvage of Infected Prosthetic Grafts at the Groin or Thigh Using Muscle Flap Coverage

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