Impact of activities of daily living and presence or absence of subjective symptoms on outcome in patients with acute lower extremity arterial occlusive disease undergoing vascular surgery

Abstract

　Here, we report the impact of activities of daily living (ADL) and presence or absence of subjective symptoms on outcome in 14 patients with acute lower extremity arterial occlusive disease undergoing vascular surgery. Mean patient age was 81±9 years, the percentage of patients with American Society of Anesthesiologists physical status class 3 was 64%, and the rate of cerebro- and cardiovascular complications was 93%. Eight patients (57%) had low ADL, four of whom underwent diseased limb amputation. Four patients (29%) did not have subjective symptoms, two of whom underwent diseased limb amputation. One patient with low ADL died from multiple organ failure in hospital after vascular surgery. Anesthesiologists involved in the perioperative management of such surgeries should recognize that low ADL and absence of subjective symptoms influence the outcome of vascular surgery in patients with arterial occlusive disease.