A. F. X. Henry|Nathanael D. Hevelone|Michael Belkin|Louis L. Nguyen
Socioeconomic and hospital-related predictors of amputation for critical limb ischemia
Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University
h3objectiveh3 disparities limb salvage procedures may driven socioeconomic status ses access highvolume hospitals sought identify ses factors associated major amputation setting critical limb ischemia cli h3methodsh3 20032007 nationwide inpatient sample queried discharges containing lower extremity revascularization ler major amputation chronic cli n 958120 elixhauser method used adjust comorbidities significant predictors bivariate logistic regression entered multivariate logistic regression dependent variable amputation vs ler h3resultsh3 overall 242 cli patients underwent amputation significant differences seen groups bivariate multivariate analysis ses factors including race income insurance status lowerincome patients likely treated lowlervolume institutions odds ratio 174 ipi 001 patients higherlervolume centers 1516 ipi 001 admitted electively 219 ipi 001 evaluated diagnostic imaging 1063 ipi 001 likely receive ler h3conclusionsh3 controlling comorbidities minority patients lower ses patients medicaid likely receive amputation cli lowvolume hospitals addressing ses hospital factors may reduce amputation rates cli