Barthel Index and Outcome of Open Bypass for Critical Limb Ischemia.
BACKGROUND
Daily activity should be an important factor to consider when deciding on a treatment strategy for critical limb ischemia (CLI), and we hypothesized that there was a close relationship between activities of daily living (ADL) and prognosis. The aim of this study was to investigate the association between ADL and outcomes of open bypass for CLI.Methods and Results:A total of 226 patients undergoing infrainguinal bypass for CLI between January 2005 and December 2015 were reviewed. They were divided into 2 groups based on Barthel index (BI) at admission (pre-BI; ≥60 and <60) and compared with respect to the incidence of early adverse events and 3-year overall survival and amputation-free survival. Adverse events were more frequently observed in patients with pre-BI <60. Patients with pre-BI <60 had worse long-term outcomes. On multivariable analysis, hypoalbuminemia, end-stage renal disease, and BI at discharge <60 were significant predictors of 3-year outcomes, whereas pre-BI <60 was not a significant predictor of either outcome.


CONCLUSIONS
It is not BI at admission, but BI at discharge that determines long-term outcome.
['Mii|Shinsuke|S|', 'Guntani|Atsushi|A|', 'Kawakubo|Eisuke|E|', 'Shimazoe|Hirofumi|H|']
D000203:Activities of Daily Living D000328:Adult D000368:Aged D000369:Aged, 80 and over D016638:Critical Illness D005121:Extremities D005260:Female D006801:Humans D007511:Ischemia D023821:Limb Salvage D008297:Male D008875:Middle Aged D059035:Perioperative Period D058729:Peripheral Arterial Disease D011379:Prognosis D012189:Retrospective Studies D018570:Risk Assessment D012720:Severity of Illness Index D016896:Treatment Outcome D058017:Vascular Grafting
Barthel index Critical limb ischemia Activity of daily living Infrainguinal bypass