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Revista Cubana de Angiología y Cirugía Vascular
On-line version ISSN 1682-0037
Abstract
BARNES DOMINGUEZ, José Arnaldo; AGUIRRE AGUIRRE, Manuel Eduardo; TRIANA MANTILLA, María Eugenia and ARPAJON PENA, Yunier. Characterization of patients with peripheral vascular diseases who died in a period of four years. Rev Cubana Angiol Cir Vasc [online]. 2022, vol.23, n.1 Epub Apr 01, 2022. ISSN 1682-0037.
Introduction:
Peripheral vascular diseases are a global health problem because they are a major cause of disability.
Objective:
Characterize patients with peripheral vascular diseases who died over a period of four years.
Method:
A descriptive and analytical study was conducted in patients who died between January 2015 and December 2018. Socio-demographic and clinical variables were studied. Absolute and relative frequencies were estimated, as well as the mortality rate. The association between the variables with the direct cause of death was identified.
Results:
42.7% of diabetic patients died; of these, 57.5% were decompensated. High blood pressure, smoking and diabetes mellitus were the most frequent risk factors. The total mortality rate was 0.171/1000 admissions. The most frequent arterial diseases were AAA (28.1%) and diabetic angiopathy (25%); and, as part of the latter, foot angiopathy (25.7%). Aneurysmectomy with graft substitution represented the most performed revascularizing surgery (58.8%). Hypovolemic shock and pulmonary thromboembolism predominated as post-surgical complications (15.7%). Septic shock (31.6%) and bacterial bronchopneumonia (25.7%) were the direct causes of death.
Conclusions:
It was possible to characterize patients with peripheral vascular diseases who died in the last four years, so they estimated the prevalence rate and the annual trend of mortality at the National Institute of Angiology and Vascular Surgery in that period; also, the variables associated with direct causes of death.
Keywords : mortality; peripheral vascular diseases; risk factors.