The Journal of Japanese College of Angiology
Online ISSN : 1880-8840
Print ISSN : 0387-1126
ISSN-L : 0387-1126
Volume 56 , Issue 6
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Original Article
  • Hirofumi Shimazoe, Risa Hagiwara, Takako Kibe, Tomoyuki Kurotsuka, Sou ...
    2016 Volume 56 Issue 6 Pages 79-84
    Published: 2016
    Released: July 10, 2016
    JOURNALS FREE ACCESS
    Purpose: This study clarifies the difference between postoperative physical function and activity of daily living (ADL) between patients with intermittent claudication (IC) and with critical limb ischemia (CLI). Methods: The clinical records of 113 patients who had bypass surgery for peripheral artery disease (PAD) were reviewed retrospectively. They were divided into two groups; 49 patients with IC and 64 patients with CLI. They were compared with regard to the Barthel Index (BI) assessed at discharge. In addition, the 6-minute walk distance (6MWD) and the Medical Research Council muscle strength scale (MRC scale) were evaluated in 76 patients. Results: The BI was 94.0 in patients with IC and 62.4 in patients with CLI, with significant differences. In the multiple linear regression analysis, the age and CLI were considered as the significant determinants of the BI. There were also a significant difference in the 6MWD and MRC scale; 308.5 m and 197.0 m, and 57.5 and 53.6 in patients with IC and CLI, respectively. In the multiple linear regression analysis, both the age and CLI were correlated with the 6MWD. Conclusions: The physical function and ADL were significantly inferior in patients with bypass surgery for CLI at discharge.
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