Clinical outcomes of patients with peripheral artery disease and lower extremity wounds based on a predetermined intention-to-treat strategy.
Achieving healing in patients with peripheral artery disease and lower extremity wounds represent a significant clinical challenge. Important outcome measures that define a successful therapeutic approach include wound healing rate, time to heal, and recurrence with time. This article reviews our experience managing a peripheral artery disease patient cohort at a Veterans Affairs medical center based on the initial clinical evaluation stratification and prospective enrollment into a predetermined treatment strategy.
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354.
Isabella
I
Possagnoli
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354. Electronic address: Christian.Bianchi@va.gov.
Christian
C
Bianchi
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354.
Jason
J
Chiriano
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354.
Theodore
T
Teruya
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354.
Vicki
V
Bishop
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354.
Ahmed
A
Abou-Zamzam
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354.
Krista
K
Smith
Loma Linda University, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92354.
Adela
A
Valenzuela
D000368:Aged; D000671:Amputation, Surgical; D002140:California; D016208:Databases, Factual; D049630:Esophageal Sphincter, Lower / Q000098:blood supply*; D005260:Female; D006801:Humans; D057194:Intention to Treat Analysis; D007511:Ischemia / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D007871:Leg Ulcer / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D014945:Wound Healing