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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2014, Number 2

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Rev Mex Angiol 2014; 42 (2)

Valoración de la calidad de vida en pacientes con insuficiencia arterial crónica sometidos a procedimientos de revascularización en el Hospital Regional Lic. Adolfo López Mateos, ISSSTE

López-Monterrubio AR, Flores-Escartín MH, Trujillo-Alcocer JC, Serrano-Lozano JA

Language: Spanish
References: 15
Page: 56-61
PDF size: 181.45 Kb.


ABSTRACT

Introduction. Bypass surgery aims to preserve the patient’s life, limb salvage, and improve functionality and quality of life. To measure the patient’s response there are certain tools such as quality of life questionnaires. Currently the only specific questionnaire for use in patients with chronic arterial insufficiency is the Vascular Quality of Life (VascuQoL).
Material and methods. This is a prospective, comparative study between January 2012 and January 2013. We included 34 patients diagnosed with chronic arterial insufficiency scheduled for a revascularization process; they were grouped according to the Rutherford classification. The questionnaire VascuQol was pagiven to each patient before surgery and six months later. We compared the results and statistical analysis was done.
Results. A total of 30 patients completed the study: 14 female (46.6%) and 16 male (54.4%) patients, aged between 45 and 85 years (mean 68.1 years). The preoperative results obtained according to the score in the questionnaire VascuQol by sections were activity 2.67, pain 2.62, emotional 2.61, social 3.12 and physical 3.15. Regarding postoperative results the following scores were obtained: activity 4.65, pain 4.5, emotional 4.4, social 5.3 and physical 5.
Conclusions. Physicians should ponder about the expected results after any revascularization procedure, beyond considering a success if our procedures continue working or not in the long run, it should be our primary object to improve the quality of life for all patients, not just the physical condition, but every aspect of their daily life.


REFERENCES

  1. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FGR, on behalf of the TASC II Working Group. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg 2007;45(Suppl. S): S5-S67.

  2. Mays RJ, Casserly IP, Kohrt WM, Ho PM, Hiatt WR, Nehler MR, Regensteiner JG. Assessment of functional status and quality of life in claudication. J Vasc Surg 2011; 53(5): 1410-21.

  3. Allaqaband S, Kirvaitis R, Jan F, Bajwa T. Endovascular treatment of peripheral vascular disease. Curr Probl Cardiol 2009; 34(9): 359-476.

  4. Fakhry F, Spronk S, De Ridder M, Den Hoed PT, Hunink MGM. Long-term effects of structured home-based exercise program on functional capacity and quality of life in patients with intermittent claudication. Arch Phys Med Rehabil 2011; 92(7): 1066-73.

  5. Liles DR, Kallen MA, Petersen LA, Bush RL. Quality of Life and Peripheral Arterial Disease. J Surg Res 2006; 136: 294-301.

  6. Mazari FA, Carradice D, Rahman MN, Khan JA, Mockford K, MehtaT, et al. Analysis of relation ship between quality of life indices and clinical improvement following intervention in patients with intermittent claudication due to femoro popliteal disease. J Vasc Surg 2010; 52: 77-84.

  7. Falnita LS, Cocora M, Nechifor D, Socoteanu I, Bordos D. Quality of life in patients with peripheral arterial disease before and after surgical treatment. TMJ 2004; 54(4): 346-53.

  8. Smith MJ, Borchard KLA, Hinton E, Scott AR. The Australian Vascular Quality of Life Index (AUSVIQUOL): An Improved Clinical Quality of Life Tool for Peripheral Vascular Disease. Eur J Vasc Endovasc Surg 2007; 34(2): 199-205.

  9. Nguyen LL, Moneta GL, Conte MS, Bandyk DF, Clowes AW, Lynn Seely B, PREVENT III Investigators. Prospective multicenter study of quality of life before and after lower extremity vein bypass in 1404 patients with critical limb ischemia. J Vasc Surg 2006; 44(5): 977-83.

  10. Marianne de Vries, Ouwendijk R, Kessels AG, de Haan MW, Flobbe K, Hunink MGM, et al. Comparison of generic and disease-specific questionnaires for the assessment of quality of life in patients with peripheral arterial disease. J Vasc Surg 2005; 41: 261-8.

  11. Conte MS. Understanding Objective Performance Goals for Critical Limb Ischemia Trials, Seminars in Vascular Surgery. Semin Vasc Surg 2010; 23(3): 129-37.

  12. Morgan MBF, Crayford T, Murrin B, Fraser SCA. Developing the Vascular Quality of Life Questionnaire: A new disease-specific quality of life measure for use in lower limb ischemia. J Vasc Surg 2001; 33(4): 679-87.

  13. Brothers TE, Robison JG, Elliott BM. Prospective decision analysis for peripheral vascular disease predicts future quality of life. J Vasc Surg 2007; 46(4): 701-70.

  14. Cieri E, Lenti M, De Rango P, Isernia G, Marucchini A, Cao P. Functional ability in patients with critical limb ischaemia is unaffected by successful revascularisation. Eur J Vasc Endovasc Surg 2011; 41(2): 256-63.

  15. Rooke TW, Hirsch AT, Misra S, Sidawy AN, Beckman JA, Findeiss L, Golzarian J, et al; American College of Cardiology Foundation Task Force; American Heart Association Task Force. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHAGuideline Recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2013; 61(14): 1555-70.




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