Journal
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Volume 32, Issue 5, Pages 491-493Publisher
W B SAUNDERS CO LTD
DOI: 10.1016/j.ejvs.2006.07.005
Keywords
amputation; secondary prevention; peripheral vascular disease; statin
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Objectives. To determine the numbers of patients with peripheral vascular disease prescribed secondary prevention agents following a lower limb amputation. Design. A retrospective cross sectional study. Methods. The clinical documentation of 107 vascular amputees (mean age 69.5, 2:1 male:female ratio) referred for prosthesis provision in 2004 and 2005 were analysed to determine levels of prescribing of anti-platelet agents, anti-coagulants and cholesterol lowering drugs. Results. Analysis of vascular amputees referred in 2004 and 2005 reveals that 41% were prescribed a statin and 39% were prescribed a statin and 60% an anti-platelet agent. While 39% of these patients were on both drugs, 32% had been prescribed neither. Conclusions. The medical management of patients with severe peripheral vascular disease, even where their disease has led to an amputation, is sub-optimal.
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