Clinical Characteristics and Outcomes of Chronic Limb Threatening Ischemia Patients after Treated with Endovascular Treatment During COVID-19 Outbreak in Vajira Hospital

Year 2025, Volume: 42 Issue: 1, 5 - 9, 28.03.2025

Chananuch Sarawit , Kittiyaphorn Panvilai

Abstract

Objective: To study clinical characteristics and outcomes of chronic limb threatening ischemia patients after treated with endovascular treatment during COVID-19 Outbreak. Methods: This research is a retrospective descriptive study through electronic medical records. Samples are all patients that had been treated at Vajira Hospital during the COVID-19 outbreak in Thailand between January 2020 to December 2022. Results: Results shown that out of 180 patients with chronic limb threatening ischemia, 106 are male (58.9%) while 74 are females (41.1%). The average age of the patients is 77.01 years old. Sixty-seven patients (37.2%) have history of smoking. Seventy-four
patients (41.1%) were found with Wifi Classification state. One hundred and seventy-five patients (97.2%) have comorbidity including Hypertension 24.5%, Diabetes mellitus 23.1%, Dyslipidemia 19.2%. 38.7% of the patients receive Dual Antiplatelet 38.7%. It is found that low Serum Albumin (3.26 g/dL) and Wifi Classification are having significant correlation with occurrences of complications after surgeries (p<.05). Conclusions: Patients infected with COVID-19 who have chronic limb threatening ischemia have lower Serum Albumin than patients who do not have COVID-19 which becomes a variable that increases risks of complications after surgeries, losses of limbs, deaths and numbers of days admitted in hospital which leads to increased treatment
expenditures.

Keywords

CLTI, covid, outcomes, albumin

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