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首页> 外文期刊>Vascular and endovascular surgery >Race independently impacts outcome of infrapopliteal bypass for symptomatic arterial insufficiency.
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Race independently impacts outcome of infrapopliteal bypass for symptomatic arterial insufficiency.

机译：种族独立影响有症状的动脉供血不足的in下旁路手术的结果。

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摘要

The impact of racial background on the outcome of lower extremity revascularization is unknown because a majority of studies have a preponderance of white patients. The charts of patients between 1988 and 2004 requiring infrapopliteal lower extremity revascularization were reviewed. Life-table analyses, the Cox proportional hazards model, and log-rank test were used to calculate graft patency and limb salvage. Bypasses were performed on 236 limbs in 225 patients. Mean follow-up was 18 +/- 1.5 months. Twenty-eight (12%) bypasses were performed on whites, 43 (18%) on African Americans, 148 (63%) on Hispanics, and 17 (7.2%) on patients of other races. African American race negatively correlated with primary-assisted patency (hazard ratio 2.9, P = .03), secondary patency (hazard ratio 3.64, P = .02), and limb salvage (hazard ratio 8, P = .006) compared with whites. African American race has a negative impact on the long-term outcome of infrapopliteal revascularization, regardless of disease stage or associated risk factors.
机译：种族背景对下肢血运重建结果的影响尚不清楚，因为大多数研究都以白人患者为主。回顾了1988年至2004年间需要fra下下肢血运重建的患者病历表。生命表分析，Cox比例风险模型和对数秩检验用于计算移植物通畅性和肢体挽救率。 225例患者的236条肢体被绕过。平均随访时间为18 +/- 1.5个月。白人进行了28次（12％）绕行，非裔美国人进行了43次（18％），西班牙裔进行了148次（63％），其他种族的患者进行了17次（7.2％）。与白人相比，非裔美国人的种族与主要辅助通畅（危险比2.9，P = .03），次要通畅（危险比3.64，P = .02）和肢体抢救（危险比8，P = .006）负相关。 。非洲裔美国人种族对pop下血管重建的长期结果具有负面影响，而与疾病阶段或相关的危险因素无关。

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