Division of Vascular and Endovascular Surgery, Department of Surgery, Stanford University, 780 Welch Road, Suite CJ350H , Palo Alto, 94304, Stanford, CA.
Division of Vascular and Endovascular Surgery, Department of Surgery, Stanford University, 780 Welch Road, Suite CJ350H , Palo Alto, 94304, Stanford, CA.
Semin Vasc Surg. 2022 Jun;35(2):228-233. doi: 10.1053/j.semvascsurg.2022.04.011. Epub 2022 Apr 26.
Patients with chronic limb-threatening ischemia (CLTI) are medically complex and continue to experience high rates of amputation, despite improved diagnosis and treatment. Limb salvage programs and multidisciplinary teams provide comprehensive patient care and have been associated with reduced amputation rates. Recent societal guidelines suggest the adoption of limb salvage programs to improve care of patients with CLTI. In this article, we describe the critical components of a limb salvage program and outline the following steps to aid in their construction: community and institution assessment, formation of a multidisciplinary team, provision of patient care, and monitoring outcomes and processes refinement.
患有慢性肢体威胁性缺血（CLTI）的患者病情复杂，尽管诊断和治疗有所改善，但仍有很高的截肢率。肢体挽救计划和多学科团队为患者提供全面的护理，与降低截肢率有关。最近的社会指南建议采用肢体挽救计划来改善 CLTI 患者的护理。在本文中，我们描述了肢体挽救计划的关键组成部分，并概述了以下步骤来帮助构建它们：社区和机构评估、多学科团队的形成、患者护理的提供，以及监测结果和流程的完善。
