WoundDoctor
By TimeO2 Healing Concepts, LLC
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Description
...MoreWhat's New in Version 2.0
Data correction on Braden Scale and Algorithm. Bug correction on Back button and clicking Next Steps link on the prior page.
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This app is designed for both iPhone and iPad
- $14.99
- Category: Medical
- Updated: Apr 03, 2013
- Version: 2.0
- Size: 28.4 MB
- Language: English
- Seller: TIMEO2 HEALING CONCEPTS, LLC
Requirements: Compatible with iPhone 3GS, iPhone 4, iPhone 4S, iPhone 5, iPod touch (3rd generation), iPod touch (4th generation), iPod touch (5th generation) and iPad. Requires iOS 5.0 or later. This app is optimized for iPhone 5.
Best wound care and hyperbaric application in market
ReplyDeleteHigh mortality risks after major lower extremity amputation in Medicare patients with peripheral artery disease.
ReplyDeleteJones WS, Patel MR, Dai D, Vemulapalli S, Subherwal S, Stafford J, Peterson ED.
Source
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC; Division of Cardiology, Duke University Medical Center, Durham, NC. Electronic address: schuyler.jones@dm.duke.edu.
Abstract
BACKGROUND:
Little is known regarding the contemporary outcomes of older patients with peripheral artery disease (PAD) undergoing major lower extremity (LE) amputation in the United States. We sought to characterize clinical outcomes and factors associated with outcomes after LE amputation in patients with PAD.
METHODS:
Using data from the Centers for Medicare and Medicaid Services from January 1, 2000, to December 31, 2008, we examined the national patterns of mortality after major LE amputation among patients 65 years or older with PAD. Cox proportional hazards models were used to investigate the association between clinical variables, comorbid conditions, year of index amputation, geographic variation, and major LE amputation.
RESULTS:
Among 186,338 older patients with identified PAD who underwent major LE amputation, the mortality rate was 13.5% at 30 days, 48.3% at 1 year, and 70.9% at 3 years. Age per 5-year increase (hazard ratio [HR] 1.29, 95% CI 1.29-1.29), history of heart failure (HR 1.71, 95% CI 1.71-1.72), renal disease (HR 1.84. 95% CI 1.83-1.85), cancer (HR 1.71, 95% CI 1.70-1.72), and chronic obstructive pulmonary disease (HR 1.33, 95% CI, 1.32-1.33) were all independently associated with death after major LE amputation. Subjects who underwent above knee amputation had a statistically higher hazard of death when compared with subjects who underwent LE amputation at more distal locations (HR with above the knee amputation 1.31, 95% CI 1.25-1.36).
CONCLUSIONS:
Older patients with PAD undergoing major LE amputation still face a slightly high mortality risk, with almost half of all patients with PAD dying within a year of major LE amputation.
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