LETHALITY OF ACUTE LIMB ISCHEMIA PATIENTS AND PROGNOSTIC FACTORS FOR FATAL OUTCOMES

UDC 616-005.4-717.718:613.6.02:314.42

Authors

  • Nikolay G. Khorev Altai State Medical University, Barnaul; Clinical Hospital "RZD-Medicine of Barnaul" Email: xorev-ng@mail.ru
  • Artem A. Chichvarov Altai State Medical University, Barnaul; Clinical Hospital "RZD-Medicine of Barnaul" Email: orig.xi@gmail.com
  • Sergey V. Sapelkin Vishnevsky National Medical Research Center for Surgery, Moscow Email: xorev-ng@mail.ru
  • Alexander V. Beller Altai State Medical University, Barnaul; Clinical Hospital "RZD-Medicine of Barnaul" Email: beller-alexandr@mail.ru

DOI:

https://doi.org/10.31684/25418475-2023-2-5

Keywords:

acute limb ischemia, lethality, neutrophil-lymphocyte ratio

Abstract

Materials and methods. Retrospective analysis of 1,933 inpatient treatment of patients with acute limb ischemia for 12 years (2009-2021). 63 cases of treatment ended in death. An analysis of clinical and laboratory factors influenced the lethal outcome was performed. Results and conclusions. Hospital mortality in patients with acute limb ischemia is 4.5%. The thrombotic nature of ALI often leads to death. Patients with ischemia in the basin of the lower extremities die 14.6 times more often than in the upper extremity. The leading cause of death in the structure of death is gangrene of the limbs and intestines with the development of multiple organ failure. The ratio of neutrophils to lymphocytes may be a laboratory predictor of death.

 

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Author information

Nikolay G. Khorev,
Altai State Medical University, Barnaul; Clinical Hospital "RZD-Medicine of Barnaul"

Dr. Sci. (Med.), Professor, Head of Department of Cardiology and Cardiovascular Surgery with the Course of Advanced Training of Altai State Medical University, Barnaul.
656038, Barnaul, Lenina Ave. 40. E-mail: xorev-ng@mail.ru Tel.: (3852) 201256.

Artem A. Chichvarov,
Altai State Medical University, Barnaul; Clinical Hospital "RZD-Medicine of Barnaul"

Postgraduate student of the Department of Cardiology and Cardiovascular Surgery with the Course of Advanced Training of Altai State Medical University, Barnaul; Resident of the Department of Vascular Surgery, Barnaul Clinical Hospital "RZD-Medicine", Barnaul.
656038, Barnaul, Molodezhnaya Str., 20, h2. E-mail: orig.xi@gmail.com Tel.: (3852) 20-12-58.

Sergey V. Sapelkin,
Vishnevsky National Medical Research Center for Surgery, Moscow

Dr. Sci. (Med.), Leading researcher, Scientific Secretary of the dissertation Council of Vishnevsky National Medical Research Center for Surgery, Moscow. 117997, Moscow, Bolshaya Serpukhovskaya Str., 27.

Alexander V. Beller,
Altai State Medical University, Barnaul; Clinical Hospital "RZD-Medicine of Barnaul"

Cand. Sci. (Med.), Head of the Department of Vascular Surgery, Barnaul Clinical Hospital "RZD-Medicine", Barnaul. 656038, Barnaul, Molodezhnaya Str., 20, h2. E-mail: beller-alexandr@mail.ru Tel.: (3852) 201257.

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    Published

    2023-06-26

    How to Cite

    Khorev N. G., Chichvarov A. A., Sapelkin S. V., Beller A. V. LETHALITY OF ACUTE LIMB ISCHEMIA PATIENTS AND PROGNOSTIC FACTORS FOR FATAL OUTCOMES: UDC 616-005.4-717.718:613.6.02:314.42 // Bulletin of Medical Science, 2023. Vol. 30, № 2. P. 5–10 DOI: 10.31684/25418475-2023-2-5. URL: https://newbmn.asmu.ru/bmn/article/view/564.

    Issue

    Vol. 30 No. 2 (2023): Bulletin of Medical Science

    Section

    ORIGINAL PAPERS

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    Copyright (c) 2023 Николай Германович Хорев, Артем Алексеевич Чичваров, Сергей Викторович Сапелкин, Александр Викторович Беллер

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