DYNAMICS OF THE INCIDENCE OF MAJOR AMPUTATIONS AND MORTALITY RATES IN PERIPHERAL ARTERIAL DISEASES OVER 1993-2007: FINDINGS OF A POPULATION-BASED STUDY

Barbarash L.S.¹, Zoloev G.K.², Chechenin G.I.³, Vasilchenko E.M.², Koval O.A.², Litvinovskii S.V.², Zoloev D.G.², Batiskin S.A.², Panfilov S.D.⁴, Kislov E.E.⁴, Lutsenko V.A.⁵
¹ – Scientific Research Institute for Comprehensive Problems Regarding Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo, Russia
² – Federal State Facility «Novokuznetsk Scientific and Practical Centre for Medicosocial Examination and Rehabilitation of Invalids under the Russian Federal Biomedical Agency», Novokuznetsk, Russia
³ – Department of Vascular Surgery, «Clustered Medical Information Analytical Centre», Novokuznetsk, Russia
⁴ – Medical Facility «Municipal Clinical Hospital №29», Novokuznetsk, Russia
⁵ – Regional Clinical Hospital №1, Kemerovo, Russia

Analysed were a total of 17,695 cases of hospital admission of patients presenting with arterial insufficiency of extremities, complications of diabetes mellitus, ulcers and necroses of the lower limbs, including 11,773 cases of hospitalization of patients diagnosed.

with peripheral artery diseases according to ICD-9 (till 1998) or ICD-10 (commencing from 1999) over the periods from 1993-1997 (period 1), 1998-2002 (period 2) and 2003-2007 (period 3). The correlation dependence was studied using the Pearson criterion, with the statistical significance of differences between the relative incidence of the parameters being calculated by means of the chisquare (x2) test. The obtained findings showed a decrease in the number of amputees, the incidence of lethal outcomes and mortality rates, being most significant in the group of patients under 60 years of age. There was an inverse correlation between the above measures and the indices of the number of operations on the arteries performed in grade IV limb ischaemia.

KEY WORDS: peripheral arterial disease, limb amputation, lethality, population-based study.

P. 20-25

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