Characteristics of patients with acute limb ischemia (ALI) at Hasan Sadikin General Hospital, Bandung, Indonesia in 2019-2020
Main Article Content
Keywords
Acute Limb Ischemia, Rutherford classification, characteristic
Abstract
Methods: The type of this research is descriptive cross-sectional research. The data was from the medical records of ALI patients who came to Hasan Sadikin Hospital from January 1st, 2019 to December 31, 2020. The data obtained were then identified according to patient gender, patient age, chief complaint, degree, comorbidities, and onset. The data were analyzed descriptively using SPSS ver.17.
Results: Of the 99 patients with ALI, it was found the prevalence of men (58%) was higher rather than women (42%) with the largest age distribution around 49-56 years old(23 %). The main complaint of ALI in the emergency ward was pain (32%). Category of ALI based on Rutherford classification was mostly category III (36%). The most common accompanying comorbidities were diabetes in 47 patients (47.47%).
Conclusion: Characteristics of ALI in the emergency department of Hasan Sadikin Hospital Bandung mostly occur in men. The degree of ALI according to the Rutherford classification was category III with diabetic comorbidity.
References
2. Olinic D-M, Stanek A, Tătaru D-A, Homorodean C, Olinic M. Acute Limb Ischemia: An Update on Diagnosis and Management. J Clin Med. 2019;8(8):1215. Available from: https://pubmed.ncbi.nlm.nih.gov/31416204
3. Howard DPJ, Banerjee A, Fairhead JF, Hands L, Silver LE, Rothwell PM. Population-Based Study of Incidence, Risk Factors, Outcome, and Prognosis of Ischemic Peripheral Arterial Events. Circulation. 2015;132(19):1805–15. Available from: https://doi.org/10.1161/CIRCULATIONAHA.115.016424
4. Antono D, Hamanogan R. Penyakit Arteri Perifer. In: Setiati S, Alwi I, Sudoyo A, Marcellus S., Bambang S, Ari Fahrial S, editors. Buku Ajar Ilmu Penyakit Dalam. VII. 2014. p. 1516–26.
5. Donnelly R, Hinwood D, London NJ. ABC of arterial and venous disease. Non-invasive methods of arterial and venous assessment. BMJ. 2000;320(7236):698–701. Available from: https://pubmed.ncbi.nlm.nih.gov/10710584
6. Zemaitis MR, Boll JM, Dreyer MA. Peripheral Arterial Disease. In Treasure Island (FL); 2022.
7. Gerhard-Herman M, Gornik H, Barrett C, Barshes N, Corriere M, Dracman D. Correction to: 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135(12). Available from: http://dx.doi.org/10.1161/cir.0000000000000501
8. Jaffery Z, Thornton SN, White CJ. Acute Limb Ischemia. Am J Med Sci. 2011;342(3):226–34. Available from: http://dx.doi.org/10.1097/maj.0b013e31820ef345
9. Rutherford RB. Clinical Staging of Acute Limb Ischemia as the Basis for Choice of Revascularization Method: When and How to Intervene. Semin Vasc Surg. 2009;22(1):5–9. Available from: http://dx.doi.org/10.1053/j.semvascsurg.2008.12.003
10. Menke J. Meta-analysis: Accuracy of Contrast-Enhanced Magnetic Resonance Angiography for Assessing Steno-occlusions in Peripheral Arterial Disease. Ann Intern Med. 2010;153(5):325. Available from: http://dx.doi.org/10.7326/0003-4819-153-5-201009070-00007
11. Schäberle W. Ultrasonography in Vascular Diagnosis [Internet]. Springer International Publishing; 2018. Available from: http://dx.doi.org/10.1007/978-3-319-64997-9
12. Spreen MI, Gremmels H, Teraa M, Sprengers RW, Verhaar MC, Statius van Eps RG, et al. Diabetes Is Associated With Decreased Limb Survival in Patients With Critical Limb Ischemia: Pooled Data From Two Randomized Controlled Trials. Diabetes Care. 2016;39(11):2058–64. Available from: http://dx.doi.org/10.2337/dc16-0850
13. Carter SA. Hemodynamic Considerations in Peripheral Vascular and Cerebrovascular Disease [Internet]. Introduction to Vascular Ultrasonography. Elsevier; 2005. p. 3–17. Available from: http://dx.doi.org/10.1016/b978-0-7216-0631-6.50007-5
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Hendri Bayu Nugroho, Resident, Department of Surgery, Universitas Padjadjaran, Dr. Hasan Sadikin Hospital, Bandung, Indonesia
Resident, Department of Surgery, Universitas Padjadjaran, Dr. Hasan Sadikin Hospital, Bandung, Indonesia
Teguh Marfen Djajakusumah, Division of Vascular and Endovascular Surgery, Department of Surgery, Universitas Padjadjaran, Dr. Hasan Sadikin Hospital, Bandung, Indonesia
Division of Vascular and Endovascular Surgery, Department of Surgery, Universitas Padjadjaran, Dr. Hasan Sadikin Hospital, Bandung, Indonesia